Free · Unbranded · Medical records
A one-page, nose-to-tail physical exam form. Fourteen body systems with normal, abnormal and not-examined boxes, room for findings on every line, and the scores you actually record: BCS, muscle condition, pain and dental grade.
Unbranded: no logo or linksNo account neededPrint at 100% on US LetterUpdated
What’s on the form
Patient, species, breed, age, sex and neuter status, weight, date, and examining clinician.
Temperature, heart and respiratory rate, pulse quality, mucous membranes, CRT, hydration, BCS, muscle condition, and pain score.
General appearance through rectal exam, each with normal, abnormal, and not-examined boxes and a findings line.
A short list of abnormal findings to carry into the assessment and plan.
Examining clinician’s signature and date.
Fill in online
Every line on the form is editable right here. When you’re done, print it or choose “Save as PDF” in the print dialog. Everything stays in your browser.
Click any line to type, or add your logo. Nothing is uploaded or saved.
Using it well
Working nose to tail in a fixed order is what makes a checklist useful. It’s much harder to skip a system you always reach in sequence.
Size, location, grade, and side: "2 cm firm, mobile SC mass, L thoracic wall" lets the next clinician re-measure it.
This form captures the objective exam. Use it with the SOAP template when you also need history, assessment, and plan.
Printing, editing, and what the form does and doesn’t cover.
A complete exam covers vital signs and a systematic check of each body system: general appearance, skin and coat, eyes, ears, nose and throat, mouth and teeth, lymph nodes, heart, lungs, abdomen, urogenital system, musculoskeletal system, nervous system, and rectal exam when indicated.
The systems apply to dogs and cats as written. For exotics you can still use it, but you’ll want species-specific normal ranges alongside it.
Yes. You can type into this form online and print it, or use the physical exam form generator, which pre-fills species and clinic details.
Documenting that a system was deliberately not examined (a fractious patient, a focused recheck) is more accurate than leaving it blank, which can read as an omission.
2 pages, US Letter, portrait
A clean, two-page SOAP note for exam-room documentation. Vitals and a body-systems checklist up front, then a structured assessment and plan with a medication table, so nothing important gets lost between the exam and the record.
2 pages, US Letter, portrait
The 9-point body condition scale, one page for dogs and one for cats. Every score is described in plain words, with a top-view outline showing how the waist changes, so owners can score their pet at home and track progress.
2 pages, US Letter, landscape
A landscape anesthesia record built the way monitoring actually happens: pre-anesthetic checks and every drug on page one, then a 5-minute vitals grid, the procedure timeline, and recovery on page two.
A starting point, not legal or clinical advice. VetStack’s forms are general templates. Requirements for medical records, consent, and controlled substances vary by state and practice, so review the wording with your practice’s attorney and check your state veterinary board’s rules before adopting a form as standard.