Veterinary Patient History Form
Veterinary Clinic
Patient History Form
Past Illnesses, Surgeries, and Treatments
Current Medications and Allergies
Family Medical History (if relevant)
Lifestyle Factors (diet, exercise, environment, exposure to smoke, etc.)
Symptoms in Different Parts of the Body (Please check all that apply):
Additional Details or Observations
Download or print this template under the Customize Template section.
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Veterinary Clinic
Patient History Form
Past Illnesses, Surgeries, and Treatments
Current Medications and Allergies
Family Medical History (if relevant)
Lifestyle Factors (diet, exercise, environment, exposure to smoke, etc.)
Symptoms in Different Parts of the Body (Please check all that apply):
Additional Details or Observations
Download or print this template under the Customize Template section.
Customize Template:
Customize the template to fit your clinic's branding and preferences.
Other Forms
Customizable veterinary forms for your clinic. 100% free, printable and downloadable as PDF.
Veterinary Physical Exam Form
This form is used to document the physical examination findings, vital signs, and overall assessment of the patient during a veterinary visit.
Veterinary Against Medical Advice Form (AMA)
This form is used to allow the owner to decline any/all medical treatments/procedures and provide a record of the decision.
Veterinary Euthanasia Consent Form
This form is used to get informed consent from the owner to perform euthanasia on their pet and highlight the legal, medical, and ethical considerations of the procedure.
Veterinary Anesthesia Consent Form
This form is used to obtain the owner's or authorized agent’s consent for administering anesthesia, sedation, and any necessary surgical or medical procedures.