About this template
A Pet History Form is an essential intake document designed to streamline the collection of comprehensive medical backgrounds, past treatments, vaccination records, allergies, and behavioral profiles for dogs. This template is ideal for veterinary clinics, animal hospitals, pet groomers, boarding facilities, trainers, rescue organizations, and animal behavior specialists.
Collecting detailed pet histories prior to an appointment or intake ensures safer, more personalized care. Vets and care providers can quickly identify medical sensitivities, fear triggers, handling preferences, and socialization habits. By moving this questionnaire online using Doc2Form, clinics eliminate cumbersome paper forms, reduce administrative back-and-forth, and give pet owners a convenient way to submit accurate information from any mobile device before they arrive.
Doc2Form makes it simple to deploy and manage this template as a Google Form, integrating seamlessly into your existing workflow so your team can focus entirely on animal care rather than paperwork.
Key features
- Gather complete medical and behavioral history in one organized submission.
- Identify sensitivities, allergies, and touch-trigger areas instantly.
- Fully mobile-friendly for easy completion by pet owners on any device.
- Eliminate paper clutter and streamline front-desk check-in workflows.
Use cases
- New patient intake at veterinary clinics and animal hospitals.
- Behavioral evaluation and training assessments for rescue dogs.
- Pre-boarding or daycare health and temperament screening.
What this form collects
- Full Name (Owner) (Short answer)Enter your first and last name.
- Phone Number (Short answer)Enter the best number to reach you in case of questions.
- Dog's Name (Short answer)What is your dog's call name?
- Dog's Date of Birth (Date)Approximate age is fine if exact date is unknown.
- Approximate Weight (Short answer)Enter current weight in pounds or kilograms.
- Breed (Short answer)List primary breed or mix.
- How long have you had your dog? (Short answer)E.g., 2 years, 6 months, etc.
- Where did you get your dog? (Short answer)Shelter, breeder, rescue, stray, etc.
- Flea & Tick Preventative Used (Short answer)Name the product and date of last application.
- Allergies & Skin Conditions (Paragraph)List any known food or environmental allergies, or ongoing skin issues.
- Post-Seizure Medication Needs (Paragraph)List any ongoing medications or emergency protocols if applicable.
- Touch Sensitivity Areas (Paragraph)Does your dog mind being touched on paws, ears, tail, or mouth?
- Fear Triggers (Paragraph)Note any sounds, objects, or situations that frighten your dog.
- Energy Level (Multiple choice)Select your dog's typical daily energy level.
- Bite History (Paragraph)Has your dog ever bitten a person or another animal? Please explain.
- Referral Source (Dropdown)How did you hear about us?
- Additional Comments (Paragraph)Share anything else you'd like us to know about your dog.
FAQ
What kind of information does this pet history form collect?
It covers basic pet details, weight, breed, medical and surgical history, flea/tick preventatives, allergies, temperament, fear triggers, and socialization habits with people and other dogs.
Can I customize the questions to fit my clinic or shelter's specific needs?
Yes! Once the template is generated in your Google Drive, you can easily add, remove, or edit any questions using the Google Forms editor.
Can pet owners fill this out on their smartphones?
Yes, Google Forms are fully responsive and work smoothly on mobile phones, tablets, and desktop computers.
How do I share this form with clients?
You can email the form link directly to pet owners ahead of their visit, embed it on your website, or share a QR code at your front desk.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.