Welcome! Tell us about you and your pet before your first visit.
Healthcare template · 14 fields (10 required) · ~3 min for respondents to complete · Free plan · No credit card · Fully customizable
Set up your veterinary new client form
Welcome! Tell us about you and your pet before your first visit.
Ask clients to fill this out before the first visit and to bring prior vet records. Review vaccination history and any behavior notes before the appointment.
The form separates phone number, home address, pet's name, species into labeled questions. Review the choices and required fields for your organization before sharing it.
Best practices
Ask clients to fill this out before the first visit and to bring prior vet records. Review vaccination history and any behavior notes before the appointment.
Customize the phone number and home address questions to match your records and terminology.
Name the team that reviews responses and explain what happens after submission. A requested date, service or approval is not automatically confirmed.
Ask only for information needed for this step. Arrange any sensitive supporting documents through an appropriate private process.
Every field, explained
Owner full name (Name, required)
Email address (Email, required)
Phone number (Phone, required)
Home address (Address, required)
Pet's name (Short text, required)
Species (Dropdown, required)
Breed (Short text)
Pet's date of birth (approximate is fine) (Date)
Is your pet spayed or neutered? (Single choice, required)
Are vaccinations up to date? (Single choice, required)
Current medications and allergies (optional) (Long text)
Previous veterinarian (optional) (Short text) — Clinic name and city. We may request records from them.
Reason for first visit (Long text, required)
Is your pet anxious or reactive at the vet? (Single choice, required)
Frequently asked questions
What does this veterinary new client form template collect?
Alongside contact details, it asks for phone number, home address, pet's name, species, breed, pet's date of birth (approximate is fine), is your pet spayed or neutered?, are vaccinations up to date?, current medications and allergies (optional), previous veterinarian (optional), reason for first visit, is your pet anxious or reactive at the vet?. You can rename questions, change choices and remove fields that your workflow does not need.
How should I use this veterinary new client form form?
Ask clients to fill this out before the first visit and to bring prior vet records. Review vaccination history and any behavior notes before the appointment.
Can I edit this form and print a copy?
Yes. Open an editable draft, adjust the questions, and review the preview before publishing. You can also use the template page’s print option. Publishing requires an account; the draft can be tried first.