Veterinary appointment request form template
This six-step veterinary appointment request form asks the type of pet, its age, the last check-up, the service needed and a description, followed by the contact details. Clone it into your Growform account and add your clinic’s services.
What the form asks, step by step
Reception staff can triage each request from the first four answers. The written description on step five explains the reason for the visit.
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Step 1: “What type of pet do you have?”
Birds and reptiles may need a vet with exotic animal experience.
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Step 2: “How old is your pet?”
Young and senior pets often need longer or different appointments.
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Step 3: “Has your pet had a check-up recently?”
Pets not seen for over a year may be due vaccinations too.
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Step 4: “What service are you interested in?”
Emergency care requests should be answered by phone right away.
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Step 5: Visit reason
A written description explains symptoms or the reason for booking.
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Step 6: “How shall we contact you?”
Name, email and phone come last.
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After submitting
Put your emergency number and opening hours on the thank-you screen for owners who need help now.
Who it’s for
Veterinary clinics, mobile vets and animal hospitals use this template to take appointment requests outside opening hours. Each request arrives with the species, age and service, so staff can offer the right vet and appointment length when they call back. It is lighter than a veterinary intake form, which records full medical history at the first visit.
Why this structure converts
- Owners can answer every question about their pet without looking up records.
- The service step separates routine care from emergencies before anyone reads the notes.
- The description step gives every request room to explain the reason for the visit.
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Make it yours
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Handle emergencies separately
Use conditional logic so choosing Emergency Care shows your phone number immediately instead of waiting for a callback.
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Ask for the pet’s name
Add a short text field for the pet’s name so your reply feels personal and records match.
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Decide whether notes are required
The notes field is optional in the template. Make it required if your reception team needs a reason for every visit before calling back.
Send every lead where your team works
Frequently asked questions
Is this a veterinary intake form?
It is an appointment request. A full intake form, with medical history and vaccination records, is usually completed at the first visit.
Can owners book emergency care online?
Emergencies should go to the phone. The form can show your emergency number as soon as the owner selects Emergency Care.
Which tools can receive appointment requests?
Growform sends requests to vcita, Thryv, HubSpot or a Google Sheet, and emails them to your front desk.
What happens next?
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Step 1: Clone this form template
Clone this template into your Growform account (create one first if you don’t already have one). -
Step 2: Edit your form
Get creative and adjust your form's theme options, questions or layout in the Growform form builder. -
Step 3: Share or embed your form
Share a link to your form, or embed it in your existing website. Receive new submissions by email or send them to 7,000+ apps via Zapier.
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