# Veterinary New Client Form Template

> A free veterinary new client form for vet clinics. Owners share pet details, history and records online before the first visit, so check in goes fast.

New clients share their contact details, their pet's breed, age and history, current medications and past records before the first visit. Your front desk opens one clear response instead of a clipboard at the counter.

Canonical: https://reuily.com/templates/veterinary-new-client-form
Use this template: https://reuily.com/form/from-template/veterinary-new-client-form
Collections: Requests & Intake, Pets & Animals, Veterinary Clinics
Last updated: 2026-10-24

## Questions

- Question 1: What's your full name? (Short Text, required)
- Question 2: What's your email address? (Email, required)
- Question 3: What's your phone number? (Phone, required)
- Question 4: What's your home address? (Short Text, required)
- Question 5: Who else can make decisions about your pet? (Short Text, optional)
- Question 6: What's your pet's name? (Short Text, required)
- Question 7: What kind of pet is it? (Single Choice, required). Options: Dog; Cat; Rabbit; Bird; Reptile; Another animal
- Question 8: What breed and color is your pet? (Short Text, required)
- Question 9: When was your pet born? (Date, optional)
- Question 10: What's your pet's sex? (Single Choice, required). Options: Male, neutered; Male, not neutered; Female, spayed; Female, not spayed; Not sure
- Question 11: Is your pet microchipped? (Yes / No, required)
- Question 12: Which vaccines is your pet up to date on? (Multiple Choice, optional). Options: Rabies; Distemper or DHPP; Bordetella; Leptospirosis; FVRCP; Feline leukemia; Not sure
- Question 13: What medications or supplements does your pet take? (Long Text, optional)
- Question 14: Does your pet have any allergies or health conditions? (Long Text, optional)
- Question 15: Who was your pet's last vet? (Short Text, optional)
- Question 16: Upload past medical or vaccine records (File, optional)
- Question 17: What's the reason for your first visit? (Long Text, required)
- Question 18: How did you hear about us? (Select, optional). Options: Google search; A friend or family member; Social media; Drove by; Another vet; Somewhere else

## Common uses

- Vet clinics and animal hospitals
- Mobile vets before a house call
- Clinics moving off paper intake

## Key features

- Pet history, vaccines and medications
- Past records upload
- Ready before the first visit

## Frequently asked questions

### What should a veterinary new client form include?

Owner contact details, a second decision maker, the pet's species, breed, birth date, sex and microchip, vaccines, medications, allergies, the last vet and the reason for the visit.

### Can owners send past vet records?

Yes. There's a file upload for records and vaccine certificates, saved with the response for your front desk.

### How do new clients get the form?

Send the link when they book, embed it on your website, or show a QR code at the front desk for walk ins.