Veterinary House Call Service Request Form
About this free form template

Mobile veterinary services are transforming pet healthcare by bringing professional care directly to your home—especially for senior pets, animals with mobility challenges, or those who experience severe stress during clinic visits. This Veterinary House Call Service Request Form helps mobile vet practices gather everything they need to deliver exceptional, personalized care before they arrive.

Why house call veterinary care matters

For geriatric pets, anxious animals, or those recovering from surgery, the journey to a clinic can be traumatic. House calls eliminate transportation stress, reduce exposure to other animals, and allow veterinarians to see pets in their natural environment—which often reveals important behavioral and health insights that might be missed in a clinical setting.

Built for mobile veterinary practices and pet owners

This template is designed specifically for veterinarians offering mobile services, hospice care, geriatric assessments, and in-home consultations. It captures:

  • Pet medical history and current concerns so you arrive prepared with the right equipment and expertise
  • Geriatric-specific assessments including mobility, cognitive function, pain levels, and quality of life indicators
  • Home environment details to understand accessibility, safety considerations, and the best workspace for examination
  • Scheduling preferences and service requests from routine wellness checks to end-of-life care

Built with Paperform, this form can be embedded on your practice website, shared via email, or sent directly to clients after booking. Conditional logic ensures pet owners only see questions relevant to their pet's age, species, and health status, making the experience fast and compassionate.

Streamline workflows with automation

Connect this form to your practice management software, calendar tools, and client communication systems using Stepper, Paperform's AI-native workflow builder. Automatically create appointment records, send pre-visit instructions, trigger payment collection, and follow up with care summaries—so your team can focus on the animals, not the admin.

Whether you're a solo mobile vet, a hospice and palliative care practice, or a full-service house call team, this template helps you deliver compassionate, client-centered care from the moment someone reaches out.

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michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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