Capture pet and symptom
Required: pet species, breed if known, age, weight (approx), reason for visit (wellness / vaccinations / sick / emergency / surgery).
Form template · Veterinary appointment
Veterinarian Contact Form Template
Vet appointment requests need pet species, age, and symptom — a 'my dog is throwing up' form that doesn't capture species sends the wrong tech in the wrong room.
- 500 free / mo
- No PHP · no SDK
- One POST endpoint
Live template preview
Veterinary appointment
Owner name *Sofia Reis
Email *sofia@example.com
Phone *+1 555 0142
Pet name *Biscuit
Species *Dog
+ 5 more fields in the builder
Send
Pick your veterinarian contact form — one click to use it
Every template is free and fully editable in the drag-drop builder — swap fields, colors, and the button label before you publish.
Best matchUse this template
Veterinary appointment
Owner name *Sofia Reis
Email *sofia@example.com
Phone *+1 555 0142
+ 7 more fields in the builder
Send
Dental appointment
Patient name *Daniel Chen
Email *daniel@example.com
Phone *+1 555 0142
+ 6 more fields in the builder
Send
Doctor appointment
Patient name *Daniel Chen
Email *patient@example.com
Phone *+1 415 555 0142
+ 4 more fields in the builder
Send
No backend code
No server, API route, or SDK — your Veterinarian Contact Form posts straight to one endpoint.
Straight to your inbox
Every submission is emailed to you and saved to a searchable dashboard — spam filtered before it reaches you.
Copy-paste ready
It's plain HTML you own — paste the Veterinarian Contact Form snippet, swap in your access key, and ship.
Copy and ship
Your Veterinarian Contact Form, ready to paste.
HTML by default — the same field set also renders as React, Next.js, PHP, and cURL in your dashboard. Every variant posts to the same /api/submit endpoint. Replace YOUR_ACCESS_KEY with the key from your dashboard; that's the only edit.
<form action="https://splitforms.com/api/submit" method="POST">
<input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
<input type="hidden" name="subject" value="New vet appointment request">
<label for="owner_name">Owner name *</label>
<input id="owner_name" type="text" name="owner_name" placeholder="Sofia Reis" required>
<label for="email">Email *</label>
<input id="email" type="email" name="email" placeholder="sofia@example.com" required>
<label for="phone">Phone *</label>
<input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
<label for="pet_name">Pet name *</label>
<input id="pet_name" type="text" name="pet_name" placeholder="Biscuit" required>
<label for="species">Species *</label>
<select id="species" name="species" required>
<option value="">Choose…</option>
<option>Dog</option>
<option>Cat</option>
<option>Rabbit</option>
<option>Bird</option>
<option>Reptile</option>
<option>Other</option>
</select>
<label for="breed">Breed</label>
<input id="breed" type="text" name="breed" placeholder="Tabby">
<label for="age">Age</label>
<input id="age" type="text" name="age" placeholder="3 years">
<label for="reason">Reason for visit *</label>
<select id="reason" name="reason" required>
<option value="">Choose…</option>
<option>Annual checkup</option>
<option>Vaccinations</option>
<option>Sick visit</option>
<option>Dental</option>
<option>Surgery consultation</option>
<option>Spay / neuter</option>
<option>Emergency</option>
<option>Other</option>
</select>
<label for="preferred_date">Preferred date *</label>
<input id="preferred_date" type="date" name="preferred_date" required>
<label for="symptoms">Symptoms / details</label>
<textarea id="symptoms" name="symptoms" placeholder="When it started, eating habits, behavior changes…"></textarea>
<!-- honeypot — bots fill every field -->
<input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">
<button type="submit">Send</button>
</form><p class="splitforms-attribution" style="margin-top:12px;font-size:11px;color:#888;text-align:right">
Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="sponsored noopener">splitforms</a>
</p>How to add it
How to add a Veterinarian Contact Form to your site.
To add a Veterinarian Contact Form to your site you need three things: a free splitforms access key, the HTML snippet above, and your key pasted into it. No backend, database, or CAPTCHA library — the form posts to one URL and every submission lands in your inbox and dashboard.
Triage by urgency
Symptoms like vomiting, lethargy, breathing trouble auto-flag urgent. Webhook routes to the front desk's urgent inbox; non-urgent goes to the standard scheduling queue.
Send pre-visit reminders
Webhook to your reminder system with the appointment confirmation, fasting instructions if surgery, and any vaccine records you need them to bring.
What's included
What's in this Veterinarian Contact Form template?
Vet practices schedule by species — small-animal vs exotics vs equine each need different exam rooms and tech setups. The form's first field is 'pet type' (dog / cat / rabbit / bird / reptile / other). Add age, symptom or reason, and weight if known — that's enough for the front desk to slot the appointment correctly. Emergency cases (lethargy, vomiting blood, hit-by-car) trigger a same-day urgent slot or a referral to the local 24-hour ER vet.
- Veterinary appointment — 10 ready-made fields
- HTML, JS, React, PHP, and cURL outputs
- One POST endpoint, no SDK — honeypot and classifier, no CAPTCHA
Where submissions go
Where do your Veterinarian Contact Form submissions go?
Reply-to is wired to the visitor's email, so one tap on Reply answers them directly — while the built-in honeypot and spam classifier filter out bots before they reach you. Every submission is emailed to your inbox and can forward to a webhook or Slack the moment a visitor hits send.
- Reply-to wired to the visitor's email — reply straight from your inbox
- Honeypot and spam classifier filter bots, no CAPTCHA friction
- Live dashboard, CSV export, and signed webhooks on paid plans
How SplitForms works
From form to workflow in 3 simple steps.
Connect your form, collect every submission, and send data where it needs to go — without building backend infrastructure.
Add your endpoint
Point your form to your unique SplitForms endpoint. That's it.
Receive submissions
We instantly capture and organize every submission in your inbox.
Route anywhere
Send data to email, spreadsheets, CRMs, webhooks, and 7,000+ apps.
No credit card required. Set up in under 60 seconds.
Connect & automate
Connect your favorite tools and automate everything
SplitForms works with the destinations you route to and the platforms you build on — from Slack and Sheets to WordPress, Shopify, and Next.js.
Trusted by indie teams and agencies shipping forms worldwide
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Testimonials
Loved by developers shipping at every scale.
40 quotes on record — from indie hacks to agency migrations.
“I replaced a Lambda + DynamoDB + SES contact form with six lines of HTML. It took eleven minutes, and the dashboard is better than what I was going to build.”
“We migrated 14 client sites off Formspree in a single weekend. The price is a third of what we paid, the API is more honest, and the spam filter actually works.”
“The webhook payload is signed, idempotent, and well-shaped. It reads like code from a competent team, not a CRUD app held together with duct tape.”
“I stopped reaching for Typeform on small marketing sites. splitforms covers 90% of the use case at none of the bloat.”
“I onboarded our whole agency in an afternoon. The MCP integration meant Cursor literally dropped the form straight into our client repos for us.”
“The free plan gave me 500 submissions before I paid a cent, and Pro is five dollars a month. I've spent more on coffee deciding which backend to use.”
“Spam went from forty junk entries a day to zero, with no reCAPTCHA puzzle ruining the form. The honeypot and time-trap just quietly do their job.”
“Point the form action at one endpoint and you're done. No SDK, no client library, no build step. This is how a form backend should feel.”
“Leads land in Slack the second someone submits, and a copy goes to Google Sheets for the sales team. I wired both up in under ten minutes.”
“I run a static Hugo site on a five-dollar VPS. splitforms gave it a real contact form without me standing up a single server.”
Questions
Veterinarian Contact Form questions.
View all FAQsCan I integrate with Cornerstone / AVImark / ezyVet?
Yes — webhook the JSON to your practice management software via Zapier. Lead lands with pet name, species, owner contact, and reason for visit ready for the appointment book.
How do urgent / emergency cases get triaged?
Form's symptom dropdown auto-flags urgent cases (collapse, breathing trouble, hit-by-car). On paid plans, a webhook can fire an SMS to the on-call vet immediately. Less urgent cases (mild diarrhoea, eye discharge) fit the same-day or next-day slots.
What about new-pet onboarding?
New pets need vaccine records and prior-vet info. Auto-respond to first-time submissions with a checklist. The pet record gets created in your software ahead of arrival.
Does this work for exotics?
Yes — the species field is open enough to handle reptiles, birds, rabbits, ferrets. Practices that don't see exotics route those leads to a referring exotics practice via webhook. Common in metro areas.
Simple pricing
Start free. Scale when you need more.
Choose a plan that fits your workflow — from a free form endpoint to full automations, exports, and higher submission limits.
Free
$0
Free forever
For side projects and indie devs.
- 500 submissions / mo
- Unlimited forms
- Email notifications included
- Honeypot spam filtering
- Submissions dashboard
- MCP setup stays free
- No credit card required
Most Popular
Pro
$5/ month
was $15 · save 67% · new-user price
For agencies and growing products.
- 5,000 submissions / mo
- Unlimited forms
- Every paid feature included
- Priority support (under 4hr)
- 10× free submission volume
- Cancel anytime
Pre-launch · founders pricing locked in
3-Year
$59/ 36 months
was $99 · save 40% · new-user price
Pay $59. 3 years sorted.
- 15,000 submissions / mo
- Unlimited forms
- Everything in Pro
- Renews every 3 years
- Long-term discount
- Priority support included
- Vote on the roadmap
No credit card required on Free • Cancel anytime