Free · Unbranded · Consent & legal
Consent for virtual visits by video, phone, or messaging. It explains, in plain words, what a vet can and cannot do without examining the pet in person, what to do in an emergency, and how the call is recorded and billed.
Unbranded: no logo or linksNo account neededPrint at 100% on US LetterUpdated
What’s on the form
Contact details and the pet, with the date of the first virtual visit.
Video, phone, messaging, or photo review, and the platform used.
A clear statement that a vet cannot examine the pet physically, and may need to see it in person before diagnosing or prescribing.
What to do in an emergency, and how records and recordings are handled.
How virtual visits are charged, and the owner’s consent and signature.
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
Whether a veterinarian-client-patient relationship can be established virtually differs by state. Check your state board before offering new-client telemedicine.
Make sure clients know a video call is not for emergencies, and give them the nearest 24-hour hospital.
Write up a virtual consult like any visit: history, what you could see, your advice, and the follow-up plan.
Printing, editing, and what the form does and doesn’t cover.
It depends on your state and whether a valid veterinarian-client-patient relationship (VCPR) exists. In many states a recent in-person exam is required first. Check your state veterinary board’s rules.
The veterinarian-client-patient relationship: the legal basis for a vet to diagnose and treat an animal. States define how it is established and whether it can be done virtually.
Usually once, kept on file, and reviewed if your services or the rules change.
That depends on your platform and policy. The form has a line to state whether calls are recorded and how long recordings are kept.
1 page, US Letter, portrait
Written permission before a patient appears on your website, social media, or in a case presentation. Owners choose exactly where photos can go and whether the pet’s name or their own name can be shown.
2 pages, US Letter, portrait
A clean intake form for new clients: owner and emergency contacts, room for two pets, the previous clinic and a records-transfer authorization, reminder preferences, and the payment acknowledgment, all in one pass at the front desk.
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.
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.