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Veterinary EMR Form Template

Streamline Your Veterinary Practice with Our EMR Template

Managing veterinary paperwork can be overwhelming, but the right tools can make that process smoother. This Veterinary EMR Form Template is designed for veterinary professionals like you, helping to efficiently collect and organize essential patient data while ensuring compliance and clarity. With our customizable fields, you can enhance client communication, track pet health history, and streamline appointment scheduling using this WCAG-aligned template. Explore the live template to experience its benefits firsthand.

Owner full name
Owner email
Owner phone
Address
Preferred contact method
Email
Phone call
Text message
Any
Do not contact
Permission to send texts or leave voicemail about this pet
Yes
No
Pet name
Species
Dog
Cat
Bird
Rabbit
Reptile
Small mammal
Other
Please Specify:
Breed
Approximate age
Sex and reproductive status
Female (intact)
Spayed female
Male (intact)
Neutered male
Unknown
Visit date
Visit type
New patient exam
Wellness exam
Sick visit
Follow-up
Recheck
Emergency/urgent
Surgery/procedure
Telemedicine
Chief complaint or reason for visit
Is the pet fasting for this visit?
Yes
No
Is the pet currently pregnant or nursing?
Yes
No
Not applicable
Current medications and doses
Known allergies or adverse reactions
Past surgeries or hospitalizations
Vaccination status
Primary diet
Commercial kibble
Commercial canned
Prescription diet
Raw/home-prepared
Mixed
Other
Please Specify:
Recent changes in appetite or water intake
Decreased appetite
Increased appetite
Decreased water intake
Increased water intake
No change
Not sure
Lifestyle
Indoor only
Outdoor only
Both
Recent exposure risks
Boarding or grooming
Dog park or daycare
Recent travel
Ticks or fleas observed
Contact with other animals
Household change or stress
None
Other
Please Specify:
Body weight (with units)
Temperature (with units)
Body condition assessment
Emaciated
Underweight
Ideal
Overweight
Obese
Not assessed
Physical exam findings
Pain assessment
None
Mild
Moderate
Severe
Not assessed
Point-of-care tests performed today
Please Specify:
Diagnostic findings summary
Laboratory tests ordered
CBC
Chemistry panel
Urinalysis
Culture and sensitivity
Thyroid panel
Coagulation profile
SDMA
Bile acids
Other
Please Specify:
Subjective (history and observations)
Assessment and problem list
Plan and treatments recommended
Is hospitalization required?
Yes
No
Estimated costs discussed with owner
Yes
No
Owner approvals obtained
Diagnostics approved
Treatments approved
Hospitalization approved
Surgery approved
Declined recommendations
To consider/awaiting approval
Procedures performed today
Please Specify:
Complications or adverse events
Was anesthesia or sedation used?
Yes
No
Discharge summary and home care instructions
Follow-up needed
None
Phone check-in
Recheck exam
Suture removal
Lab recheck
Imaging recheck
Other
Please Specify:
Next appointment date (if scheduled)
Dismissal instructions provided to owner
Yes
No
Pet insurance provider (if any)
Direct claim authorization provided
Yes
No
Payment method today
Cash
Credit/debit card
Check
Financing/CareCredit
Online payment
Other
Please Specify:
Emergency contact name
Emergency contact phone
Consent to examination and treatment
Yes
No
Consent to anesthesia or surgery if required
Yes
No
I acknowledge the clinic privacy policy
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Owner or authorized representative name (as signature)
Owner signature date
Clinician name
Clinician signature date
{"name":"Owner full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Owner full name, Owner email, Owner phone","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration showcasing a veterinary EMR form template design for FormCreatorAI article.

When to use this form

Use this template when you need consistent, legible medical records for wellness visits, sick exams, surgery rechecks, or emergency triage. It streamlines SOAP notes, physical exam findings, diagnostics, and client communication across your team. Mobile vets and shelter clinics can document intake, microchip, vaccines, and behavior observations on-site, even during high-volume days. If you support rescue work, pair intake data with the Dog adoption application form to keep history aligned for adopters, and reference the Owner surrender request form when prior medical or behavioral concerns are disclosed. You can also flag suspected cruelty and link the case to the Animal abuse survey form for required reporting and follow-up. The result: faster exams, fewer missed details, and a clear record for continuity of care.

Must Ask Veterinary EMR Questions

  1. What are the patient identifiers (name, species, breed, sex/neuter status, age, weight, and microchip)?

    This locks in signalment and weight for dosing, breed risks, and patient matching. Capturing microchip or ID prevents mix-ups and speeds lost-pet reunions.

  2. What is the presenting complaint and history of present illness (onset, duration, triggers, and any prior treatments)?

    These details help you triage urgency and choose the right diagnostics. Response to home care narrows differentials and avoids repeating ineffective therapies.

  3. What relevant medical history, current medications, allergies, and vaccine status should we note?

    This prevents contraindications and adverse events, especially during sedation or anesthesia. It also guides isolation protocols and client reminders.

  4. What are today's vital signs and key physical exam findings?

    Documenting temperature, pulse, respiration, pain score, hydration, and body condition creates a clean baseline for future visits. Structured fields reduce omissions and speed up SOAP note completion.

  5. What is your assessment and plan (diagnostics, treatments, client instructions, and follow-up date)?

    A clear assessment and plan records your medical decision-making and gives clients step-by-step instructions with due dates. For behavior cases, add training recommendations and reference the Dog training form to coordinate with trainers.

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