--- title: "Free Veterinary New Patient Intake Template | formformform" description: "Free veterinary new patient intake form template. Gather owner contact info, pet details, vaccination history, and reason for visit before the first…" url: "https://www.formformform.com/templates/veterinary-patient-intake-form" type: static generatedAt: "2026-09-16T13:11:47.237Z" --- [Templates](https://www.formformform.com/form-templates)/[Veterinary Forms](https://www.formformform.com/form-templates/veterinary-forms) # Veterinary New Patient Intake Template Start every veterinary relationship on the right foot. This new patient intake form collects owner contact details, complete pet information, vaccination records, medical history, and the reason for the visit — all before the appointment even begins. Replace paper clipboards with a clean digital form your clients can complete from home. [Use this template](https://app.formformform.com/templates/veterinary-patient-intake-form/use) Last updated 21 August 2026 ## Fields in this template - Owner Full Name · required - Email Address · required - Phone Number · required - Pet Name · required - Species · required Dog · Cat · Bird · Rabbit · Reptile · Other - Breed - Date of Birth - Sex · required Male · Female - Spayed / Neutered · required Yes · No · Unknown - Previous Medical History - Vaccinations Up To Date Rabies · Distemper/Parvo (DHPP) · Bordetella · Leptospirosis · Feline Leukemia · FVRCP · Not sure / records unavailable - Current Medications or Supplements - Reason for Today's Visit · required ## Who uses this template Veterinary clinics · Animal hospitals · Mobile veterinarians · Exotic animal practices · Holistic pet wellness centers · University veterinary teaching hospitals · Emergency animal clinics ## About this template A veterinary new patient intake form is the first touchpoint between a pet owner and your practice. Collecting the right information up front — species, breed, age, vaccination status, and current medications — lets your team prepare before the appointment rather than scrambling through questions at the front desk. It also establishes a documented record from day one. Paper forms are slow, hard to read, and require manual data entry into your practice management system. A digital intake form eliminates that bottleneck. Clients fill it out at home on their phone, and the data arrives in your inbox formatted and ready to act on. For practices seeing 30 or more new patients a month, this alone saves hours of administrative work. formformform makes it easy to customize this template for your specific practice — add fields for insurance provider, referral source, or emergency contact without touching a line of code. Forms are embeddable on your clinic website or shareable via a direct link sent in your new patient welcome email. ## 14 form ideas you can build with this template ### Feline-Only Clinic Intake Form Captures cat-specific details like indoor/outdoor status, litter box habits, and feline vaccine history for practices that see cats exclusively. ### Avian Veterinary Intake Form Collects species, subspecies, diet, cage environment, and wing-clipping history for birds brought to avian specialty vets. ### Exotic Reptile Intake Form Gathers enclosure temperature, humidity settings, feeding schedule, and substrate type alongside standard medical history for reptile patients. ### Emergency Animal Hospital Intake Streamlines rapid intake by collecting chief complaint and current medications first, with full history fields for follow-up. ### Mobile Veterinarian Client Form Sent via link before an at-home visit so the mobile vet arrives knowing the pet's history without carrying paper forms. ### University Veterinary Teaching Hospital Intake Includes fields for referring veterinarian, case complexity consent, and teaching participation acknowledgment alongside standard pet details. ### Holistic Pet Wellness Intake Form Adds diet type, supplement use, and stress behavior fields to standard medical history for integrative or holistic veterinary practices. ### Rabbit and Small Mammal Intake Form Captures housing type, hay and pellet diet details, and whether the rabbit is free-roaming or caged for small mammal specialists. ### Low-Income Clinic New Patient Form Includes a financial assistance program checkbox and sliding-scale eligibility questions alongside standard intake fields. ### Multi-Pet Household Intake Form Allows owners to register multiple pets in a single submission by listing all animals in the household and their individual histories. ### Senior Pet Wellness Intake Form Emphasizes age-related health screening questions including mobility, cognitive changes, appetite shifts, and joint health for geriatric patients. ### Shelter Veterinary Intake Form Adapted for animal shelters to document stray intake condition, estimated age, found location, and immediate health assessment needs. ### Aquatic Animal Intake Form Collects tank size, water parameters, filtration type, and tankmate details for veterinary practices that treat fish and aquatic species. ### Military Working Dog Intake Form Includes handler contact information, service branch, deployment history exposure, and duty assignment alongside standard medical history. ## What's included Species dropdown covering dogs, cats, birds, rabbits, reptiles, and more Vaccination checklist for both canine and feline vaccines Medical history and current medications fields Sex and spayed/neutered status fields Reason for visit section to prepare the veterinarian in advance Instant email notification on submission Mobile-friendly for clients completing on their phones Unlimited submissions with no per-form fees ## How to create a veterinary new patient intake 1. 1 Click 'Use this template' to open this intake form pre-built in formformform. 2. 2 Edit the species dropdown to add or remove options relevant to your practice (e.g., add 'Guinea Pig' or 'Ferret' for exotic clinics). 3. 3 Expand the vaccination checklist to include every vaccine your practice tracks. 4. 4 Add your clinic's logo and adjust colors to match your brand in the form settings. 5. 5 Set your notification email so completed forms arrive directly in your inbox or team inbox. 6. 6 Share the form link in your new patient welcome email or embed it on your website's 'New Patients' page. ## Best practices for your veterinary new patient intake Send the link before the appointment include it in your new patient confirmation email so clients arrive with the form already completed. Mark vaccination fields as optional some new clients won't have records handy. Require what's truly essential and gather the rest during the visit. Include a 'reason for visit' text field a free-text description gives the vet context that a dropdown never can. Ask for medication names and dosages separately 'current medications' buried in a general notes field leads to vague responses. A dedicated field gets specific answers. Use the breed field as free text breed dropdowns with hundreds of entries frustrate users. A short\_text field is faster and more accurate. Test the form on a mobile device most pet owners will complete it on their phone while sitting in the car or waiting at home. ## Frequently asked questions Can I customize the species list for an exotic animal practice? Yes. The species dropdown is fully editable. You can add guinea pigs, ferrets, hedgehogs, fish, or any species your practice sees, and remove options that aren't relevant. How does the form handle vaccination records? The template includes a checkbox field listing common canine and feline vaccines. You can customize the list to match your practice's vaccine protocols. Clients check off what's current; the full records can be brought in at the appointment. Can clients fill this out on a mobile phone? Yes. All formformform forms are fully responsive and work on any device. Most pet owners prefer to fill out intake forms on their phone before arriving at the clinic. Is there a way to receive submissions directly in my practice management software? formformform sends submissions to your notification email. From there you can manually enter the data, or use a tool like Zapier to route submissions directly to software like Vetspire, IDEXX, or AVImark. What if a client doesn't know their pet's date of birth? The date of birth field is set as optional. Clients who adopted a rescue or stray often don't have this information. You can note the approximate year during the visit. Can I add a field for pet insurance information? Absolutely. You can add a short\_text field for insurance provider name and policy number. This is especially useful for practices that file claims on behalf of clients. ## Related templates [Veterinary Forms Pet Registration Form Register pets with complete owner, medical, and vaccination records.](https://www.formformform.com/templates/pet-registration-form)[Veterinary Forms Animal Intake Form Collect owner info, species details, and medical history before every animal visit.](https://www.formformform.com/templates/animal-intake-form)[Healthcare Forms Appointment Request Form Take appointment requests with date, time, service type, and reason.](https://www.formformform.com/templates/appointment-request-form)[Healthcare Forms Patient Intake Form Collect patient info, medical history, and insurance before the appointment.](https://www.formformform.com/templates/patient-intake-form)[Beauty & Wellness Forms Salon Client Intake Form Collect new client hair profiles, service preferences, and allergy information before their appointment.](https://www.formformform.com/templates/salon-client-intake-form)[Veterinary Forms Lost/Found Pet Report Report lost or found pets with location, description, and contact info.](https://www.formformform.com/templates/pet-lost-and-found-form) ## More Veterinary form templates - [Pet Boarding Inquiry template](https://www.formformform.com/templates/pet-boarding-inquiry-form) - [Pet Grooming Appointment Request template](https://www.formformform.com/templates/pet-grooming-appointment-form) - [Pet Adoption Application template](https://www.formformform.com/templates/pet-adoption-application-form) - [Pet Daycare Enrollment template](https://www.formformform.com/templates/pet-daycare-enrollment-form) - [Veterinary Treatment Consent Form template](https://www.formformform.com/templates/veterinary-consent-form) [View all Veterinary form templates →](https://www.formformform.com/form-templates/veterinary-forms) Start with the Veterinary New Patient Intake template Free forever. No credit card required. Customize everything. [Use this template](https://app.formformform.com/templates/veterinary-patient-intake-form/use)