Veterinary Specialty Referral Inquiry Form
About this free form template

Streamline Veterinary Specialty Referrals with Paperform

When a general practice veterinarian needs to refer a patient to a specialist, time matters—and so does accuracy. This Veterinary Specialty Referral Inquiry Form template helps specialty clinics capture complete patient histories, medical details, and referring vet information in one organized, professional submission.

Built specifically for veterinary specialists including internal medicine, surgery, oncology, cardiology, neurology, and emergency care practices, this form replaces phone tag and incomplete faxes with a clear digital intake process. Pet owners and referring veterinarians can submit comprehensive details about the patient's condition, primary diagnosis, relevant medical history, insurance coverage, and urgency level—ensuring your team has everything needed to triage cases and schedule appointments efficiently.

Who This Template Is For

This template is ideal for:

  • Veterinary specialty practices offering referral services in surgery, internal medicine, oncology, cardiology, ophthalmology, neurology, and other disciplines
  • Emergency and critical care hospitals that accept referrals from primary care vets
  • Veterinary teaching hospitals coordinating case referrals with community practitioners
  • Multi-specialty animal hospitals managing intake across departments

Why Paperform Works for Veterinary Practices

Paperform's conditional logic lets you show or hide questions based on species, urgency level, or insurance status—keeping the form streamlined for each case. Add your practice branding, logo, and calming background imagery to reassure worried pet owners during what can be a stressful time.

Once submitted, use Stepper (stepper.io) to route urgent cases to on-call specialists via SMS or Slack, create tasks in your practice management software, and send confirmation emails with next steps to both the pet owner and referring veterinarian. For practices requiring signed consent or medical record release forms, Papersign (papersign.com) can automatically generate and send documents for eSignature as soon as the referral is received.

With Paperform's integrations, you can sync referral data into your veterinary PIMS, log inquiries in Google Sheets or Airtable for tracking, and ensure no case falls through the cracks. Whether you're a single-specialty practice or a comprehensive referral hospital, this template provides a professional, efficient first touchpoint that gets cases moving quickly and accurately.

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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
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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