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 total
- No PHP · no SDK
- One POST endpoint
Live template preview
Veterinary appointment
Owner name *Sofia Reis
Email *[email protected]
Phone *+1 555 0142
Pet name *Biscuit
Species *Dog
+ 5 more fields in the builder
Send
This template is one of our free HTML form templates. See more form templates by industry.
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 *[email protected]
Phone *+1 555 0142
+ 7 more fields in the builder
Send
Dental appointment
Patient name *Daniel Chen
Email *[email protected]
Phone *+1 555 0142
+ 6 more fields in the builder
Send
Doctor appointment
Patient name *Daniel Chen
Email *[email protected]
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="[email protected]" 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>
<!-- drop-off analytics + partial leads (the form works without it) -->
<script src="https://splitforms.com/embed.js" async></script>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 spam scoring, 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 automatic spam scoring 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 automatic spam scoring filter bots, no CAPTCHA friction
- Live dashboard, CSV export, and signed webhooks on paid plans
How SplitForms works
What happens after someone submits your form?
splitforms receives the submission, filters spam, saves it to your dashboard and emails you — then, on paid plans, sends it on to your webhooks and integrations. No backend infrastructure to build.
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
Where can submissions go besides email?
On paid plans, submissions can also go to Slack, Discord, Google Sheets, Notion, Airtable, Zapier or any signed webhook — and splitforms works on the platforms you build on, from WordPress and Shopify to Next.js. With Stripe connected, your forms can take payments too.
NewTake payments on your formsDeposits, bookings, order forms — submitters check out through Stripe and the money goes straight to your Stripe account. Included on every paid plan.See plans →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
How much does splitforms cost?
Free gives you 500 submissions for $0 — no card, no time limit. Pro is $5/month for 5,000 submissions a month, and Annual is $49/year for 15,000 a month with every Pro feature.
Free
$0— 500 submissions
For side projects and indie devs.
- 500 free submissions
- Unlimited forms
- Email notifications included
- Smart spam filtering
- Submissions dashboard
- Redirect after submit
- MCP server included
Recommended
Pro
$5/ month
Billed monthly
Every paid feature, for agencies and growing products.
- 5,000 submissions / mo
- Unlimited forms
- Webhooks and integrations
- CC/BCC, auto-replies and routing
- File uploads with 500 MB storage
- Stripe payments on your forms
- 3 team seats
- Cancel anytime
Annual
$49/ year
About $4.08/mo, billed yearly
Every Pro feature with triple the volume — $0.27 per 1,000 at full use.
- 15,000 submissions / mo
- Unlimited forms
- Everything in Pro
- File uploads with 5 GB storage
- 3 team seats
- Priority email support
No credit card required on Free • Cancel anytime • Full pricing and FAQ