---
title: Pet Tick-Borne Disease Screening Form Template | Paperform
description: Veterinary clinic form template for assessing tick-borne disease risk with travel history, clinical signs, endemic region exposure, and diagnostic testing recommendations.
url: "https://paperform.co/templates/pet-tick-borne-disease-screening-form"
type: static
generatedAt: "2026-03-28T00:44:47.530Z"
---

[← Back to free form templates](/templates/)    ![Pet Tick-Borne Disease Screening Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pet-tick-borne-disease-screening-form.png)
    [Preview](https://_preview.paperform.co/ai-template/pet-tick-borne-disease-screening-form) [Use this template for free](/create?ai-template=pet-tick-borne-disease-screening-form)    [Industry-Specific Forms](/templates/category/industry-specific/) [Veterinary & Animal Care](/templates/industry/veterinary/)[Pet Services](/templates/industry/pet-services/) [Veterinarian](/templates/role/veterinarian/)     About this free form template
### Comprehensive Tick-Borne Disease Screening for Veterinary Practices

Tick-borne diseases represent a growing threat to companion animals across North America and beyond. From Lyme disease and Ehrlichiosis to Rocky Mountain Spotted Fever and Anaplasmosis, these illnesses can cause serious health complications if left undetected. This **Pet Tick-Borne Disease Screening Form** helps veterinary clinics systematically evaluate risk factors, document clinical presentations, and determine appropriate multi-pathogen testing protocols—all in one streamlined digital workflow.

#### Why Veterinary Clinics Choose Paperform for Patient Screening

Veterinary practices juggling paper charts, inconsistent intake processes, and delayed diagnostic decisions are turning to Paperform to modernise their clinical workflows. Unlike rigid survey tools or clunky practice management add-ons, Paperform works like editing a document—you type questions, add conditional logic, and create a professional screening form that matches your clinic's brand and integrates directly with your existing systems.

This tick-borne disease screening template is designed specifically for **veterinary clinics, mobile vet services, and animal hospitals** that need to:

 - **Capture detailed travel and exposure history** to identify pets at higher risk based on endemic regions
 - **Document clinical signs systematically** so nothing is missed during busy appointment schedules
 - **Guide appropriate diagnostic testing** by matching symptoms and risk factors to the right multi-pathogen panels
 - **Streamline workflows** by sending completed forms directly to your practice management software, lab partners, or internal case management tools

#### How This Template Supports Better Patient Outcomes

Early detection of tick-borne diseases can mean the difference between a simple treatment protocol and a complex, chronic health issue. This form helps veterinary teams:

 1. **Assess geographic and seasonal risk factors**: Capture recent travel history, time spent in wooded or grassy areas, and exposure to known endemic regions for Lyme, Ehrlichia, Anaplasma, and other tick-borne pathogens.
 1. **Document clinical presentation**: Systematically record symptoms like lethargy, lameness, fever, lymphadenopathy, and neurological signs that may indicate active infection.
 1. **Determine testing strategy**: Use conditional logic to recommend the appropriate diagnostic panel—whether it's a basic 4Dx snap test or a comprehensive PCR panel—based on the pet's risk profile and clinical signs.
 1. **Maintain complete records**: Store all screening data alongside patient records for easy reference during follow-up visits, treatment monitoring, and owner communication.

#### Built for Veterinary Workflows, Not Just Data Collection

Paperform goes beyond simple forms. You can:

 - **Embed directly in your website or client portal** so pet owners can complete pre-visit screenings from home
 - **Use conditional logic** to show or hide questions based on previous answers—no need to overwhelm clients with irrelevant questions
 - **Connect to your practice management system** like Avimark, ezyVet, or Pulse via native integrations or Stepper workflows
 - **Send automated confirmations and follow-ups** with customised success messages and email notifications to both staff and clients
 - **Generate professional reports** from submission data to share with referring veterinarians or specialists

#### Integrations That Keep Your Practice Running Smoothly

This screening form can plug directly into the tools veterinary practices already use:

 - **Practice management software**: Push patient data and screening results to your PMS automatically
 - **Lab partners**: Send testing orders directly to reference labs like IDEXX, Antech, or Zoetis
 - **CRM and communication tools**: Log client interactions in HubSpot or trigger follow-up sequences in Mailchimp
 - **Team collaboration**: Notify your veterinary team via Slack or Microsoft Teams when high-risk cases come in
 - **Stepper workflows**: Build custom automations that route cases, update records, and coordinate care without writing code

#### Perfect for Mobile and In-Clinic Use

Whether you're screening pets during routine wellness visits, responding to tick exposure concerns, or conducting field assessments in endemic areas, this form works seamlessly on any device. The responsive design ensures pet owners and veterinary staff can complete screenings on tablets, phones, or desktop computers with the same professional experience.

#### Security and Compliance for Veterinary Data

Veterinary practices handle sensitive client and patient information every day. Paperform provides **SOC 2 Type II compliance, GDPR readiness, and enterprise-grade security** to protect the data you collect. While Paperform is not HIPAA-compliant (a standard specific to human healthcare), it offers robust security features appropriate for veterinary practice data management, including encrypted submissions, role-based access controls, and secure storage.

#### Who This Template Is For

This tick-borne disease screening form is ideal for:

 - **Veterinary clinics and animal hospitals** looking to standardise their approach to tick-borne disease assessment
 - **Mobile veterinary services** serving high-risk geographic areas where tick exposure is common
 - **Emergency and specialty veterinarians** who need rapid risk assessment for acute presentations
 - **Preventive care programs** focusing on wellness and early disease detection
 - **Veterinary practices in endemic regions** for Lyme, Ehrlichiosis, Anaplasmosis, Rocky Mountain Spotted Fever, and other tick-borne pathogens

#### Get Started in Minutes

With Paperform's intuitive editor, you can customise this template to match your clinic's specific protocols, testing partnerships, and branding in just minutes. Add your logo, adjust questions to reflect local disease prevalence, integrate with your existing tools, and start collecting better screening data today.

Trusted by veterinary practices worldwide, Paperform helps animal care professionals deliver better patient outcomes through smarter, more efficient workflows—no coding or IT support required.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
 ![Trustpilot - 4.8 out of 5](/images/trustpilot-st.jpg)
 ![G2 - 4.8 out of 5](/images/g2-st.jpg)
  [Try Paperform free now](/register)
## More templates like this
  [![Aquatic Veterinary Consultation Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/aquatic-veterinary-consultation-form.png)

### Aquatic Veterinary Consultation Form

A comprehensive consultation form for aquatic veterinarians to assess fish health, water quality, tank conditions, and diagnose diseases in home aquariums and ponds.](/templates/aquatic-veterinary-consultation-form/)
[![Pet Behavior Modification Plan Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pet-behavior-modification-plan-form.png)

### Pet Behavior Modification Plan Form

A comprehensive behavior modification plan form for veterinary clinics to document training goals, counterconditioning techniques, medication protocols, and track progress milestones for pets with behavioral issues.](/templates/pet-behavior-modification-plan-form/)
[![Pet Behavioral Medication Trial Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pet-behavioral-medication-trial-form.png)

### Pet Behavioral Medication Trial Form

A comprehensive veterinary form for documenting baseline behaviors, initiating behavioral medication trials, and monitoring treatment progress and side effects for pets with behavioral concerns.](/templates/pet-behavioral-medication-trial-form/)
[![Pet Care Facility Incident Report & Complaint Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pet-care-facility-incident-report-complaint-form.png)

### Pet Care Facility Incident Report & Complaint Form

Report incidents, injuries, or concerns at your pet care facility with veterinary documentation and claim submission.](/templates/pet-care-facility-incident-report-complaint-form/)
[![Pet Gastropexy Preventive Surgery Consent Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pet-gastropexy-preventive-surgery-consent-form.png)

### Pet Gastropexy Preventive Surgery Consent Form

A comprehensive consent form for preventive gastropexy surgery that covers breed predisposition, procedure benefits, anesthesia risks, and recovery expectations for at-risk pets.](/templates/pet-gastropexy-preventive-surgery-consent-form/)
[![Pet Insurance Pre-Authorization Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pet-insurance-pre-authorization-form.png)

### Pet Insurance Pre-Authorization Form

Streamline insurance pre-authorization for veterinary procedures with comprehensive clinical justification, cost estimates, and treatment documentation for faster claim approvals.](/templates/pet-insurance-pre-authorization-form/)
[![Pet Nutrition Therapeutic Trial Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/pet-nutrition-therapeutic-trial-form.png)

### Pet Nutrition Therapeutic Trial Form

A comprehensive veterinary form for managing elimination diet trials, including novel protein selection, detailed feeding protocols, and systematic response evaluation for pets with suspected food sensitivities.](/templates/pet-nutrition-therapeutic-trial-form/)
[![Veterinary Endoscopy Procedure Consent Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/veterinary-endoscopy-procedure-consent-form.png)

### Veterinary Endoscopy Procedure Consent Form

A comprehensive consent form for veterinary endoscopy procedures including sedation authorization, procedure details, biopsy consent, and owner acknowledgment of risks and costs.](/templates/veterinary-endoscopy-procedure-consent-form/)
[![Veterinary Immunotherapy Allergy Injection Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/veterinary-immunotherapy-allergy-injection-form.png)

### Veterinary Immunotherapy Allergy Injection Form

A comprehensive form for veterinary clinics to document allergy immunotherapy injections, track allergen selections, manage concentration schedules, record administration details, and monitor patient reactions.](/templates/veterinary-immunotherapy-allergy-injection-form/)
[![Veterinary Second Opinion Consultation Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/veterinary-second-opinion-consultation-form.png)

### Veterinary Second Opinion Consultation Form

Request a second opinion on your pet's diagnosis or treatment plan. Upload medical records, diagnostic images, and discuss alternative therapy options with our experienced veterinary team.](/templates/veterinary-second-opinion-consultation-form/)
[![Veterinary Urgent Care Walk-In Triage Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/veterinary-urgent-care-walk-in-triage-form.png)

### Veterinary Urgent Care Walk-In Triage Form

Streamline your urgent care walk-ins with this comprehensive triage form that captures chief complaints, symptom severity, and owner information to prioritize care effectively.](/templates/veterinary-urgent-care-walk-in-triage-form/)
[![Animal Cruelty Forensic Examination Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/animal-cruelty-forensic-examination-form.png)

### Animal Cruelty Forensic Examination Form

Comprehensive forensic veterinary examination form for documenting suspected animal cruelty cases with photographic evidence, injury assessment, pain evaluation, and expert testimony preparation.](/templates/animal-cruelty-forensic-examination-form/)