Free · Unbranded · Medical records
A one-page referral that gives the specialist what they need before the patient arrives: the history, what has already been done, the medications, and the actual question you want answered.
Unbranded: no logo or linksNo account neededPrint at 100% on US LetterUpdated
What’s on the form
Your clinic and veterinarian, the receiving hospital and service, and how urgent the referral is.
Owner contact details and the patient’s signalment and weight.
Why you are referring, a short clinical history, and the current problem list.
Diagnostics already performed with key results, and treatments given, so tests are not repeated.
The specific question or service you want from the specialist.
A checklist of what is being sent, and how you want to receive the report.
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
“Please assess for surgical candidacy” or “second opinion on the mass on thoracic films” gets a more useful report than “please see”.
Specialists usually want the original radiographs or ultrasound images. Tick the box and send the files.
Include what was given today. It matters for anesthesia, for further testing, and for avoiding duplicate drugs.
Printing, editing, and what the form does and doesn’t cover.
The reason for referral, a concise history, current medications with doses, diagnostic results already obtained, treatments given, the question you want answered, owner contact details, and copies of relevant records and images.
Many states require client consent to share records with third parties. A records release form signed by the owner covers this.
Yes. Tick the emergency box and add the treatments given before transfer and the time of the last doses.
Yes. Fill in the online version, then print it or save it as a PDF to email with the records.
1 page, US Letter, portrait
A one-page authorization for sending a pet’s records to another clinic, a specialist, an insurer, or the owner. It spells out exactly which records go where, by what method, and for how long the authorization lasts.
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.
1 page, US Letter, portrait
A request form for in-house tests, send-out labs, and imaging. It keeps the clinical question with the sample, so the person running or reading the test knows why it was ordered.
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.