Veterinary Emergency Poison Exposure Form

When a pet is exposed to a toxic substance, every minute counts. This Veterinary Emergency Poison Exposure Form helps veterinary clinics and animal hospitals quickly gather critical information to assess the severity of poisoning cases and provide immediate, life-saving care.

Designed specifically for emergency veterinary situations, this template captures essential details about the toxin, exposure timeline, clinical symptoms, and decontamination procedures—all in one streamlined form that can be completed by pet owners or veterinary staff during high-stress moments.

Why veterinary clinics need this form:

Poison exposure is one of the most common emergency situations in veterinary medicine. From chocolate and xylitol ingestion to household chemicals and toxic plants, pets can encounter dangerous substances daily. This form helps your clinic:

• Triage cases faster by collecting toxin type, quantity, and time of exposure upfront
• Coordinate with poison control by documenting all relevant case details in one place
• Maintain accurate records for treatment planning, follow-up care, and liability protection
• Improve client communication by providing a clear, professional intake process during emergencies

With conditional logic built in, the form adapts based on the type of toxin reported, asking relevant follow-up questions about chocolate type, plant species, medication dosage, or chemical concentration. This ensures you capture the specific information needed for each poisoning scenario without overwhelming pet owners with irrelevant questions.

Streamline emergency workflows with Paperform:

Paperform makes it easy to embed this form directly on your clinic website's emergency page, share via SMS or email when clients call ahead, or complete on a tablet in your waiting room. Submissions automatically sync to your practice management system, and you can set up instant notifications to alert on-call veterinarians when critical cases come through.

For clinics looking to automate their emergency response even further, Stepper can route high-severity cases to specific team members, create patient records in your veterinary software, and send follow-up care instructions to pet owners—all triggered by form submission.

Whether you're a 24-hour emergency animal hospital or a general practice handling after-hours calls, this form template helps you deliver faster, more accurate care when pets need it most.