Apps

Veterinary Pet Check-In App

The Veterinary Pet Check-In App allows veterinarian staff to gather general health information to easily track and accurately assess a pet’s medical history. The form is structured to capture general information about a pet such as reason for visit, concerns the owner has for their pet, when the pet last ate, if the pet has allergies to medications or vaccinations, and if the pet needs a prescription refilled. The form specifically can help a veterinarian team identify if the pet has issues to include eating, bad breath, weight gain/loss, itching/scratching, scooting, car sickness, vomiting, diarrhea, skin masses/lesions, urination issues, behavioral problems, difficulty rising, and excessive sleeping. The form also includes an additional section that enables the sale of preventative care services to include Diphenhydramine injection before vaccinations, heartworm prevention, flea and tick prevention, microchip insertion, pedicure, anal gland expression, medicinal shampoo and conditioner, ear cleaning, dental cleaning, and post-operative pain medication.

Veterinary Pet Check-In App iPhone, iPad Veterinary Pet Check-In App Android Veterinary Pet Check-In App Web, Desktop
Veterinary Pet Check-In App

Appointment Time

Appointment Date

Check-In Time

Names

Your Name

Your Pet's Name

We will need to be able to contact you or someone with permission to make medical and financial decisions.

Who will we be speaking with?

Your Phone Number

Secondary's Phone Number

Reason for Visit

Tell Us Why You're Here

Are There Any Concerns For...

Concerns

Additional Information

When did your pet last eat?

What day did your pet last eat on?

What time?

Has your pet ever had an adverse reaction to medication?

Yes or No

What was the reaction?

Has your pet ever had an adverse reaction to to vaccines or any procedure?

Yes or No

What was the reaction?

Is your pet ever in pain after vaccines or other procedures?

Yes or No

Is your pet taking any medication(s)?

Yes or No

Please list the medications.

Any refills needed?

Yes or No

Please list the medicine you need refilled.

Preventative Care Services

Pre-med Prior to Vaccinations

Yes or No

Heartworm Prevention

Yes or No

Flea and Tick Prevention

Yes or No

Microchip

Yes or No

Pedicure

Yes or No

Anal Gland Expression

Yes or No

Skin and Dental Care

Yes or No

Select a Treatment