A one-page pet medical history form to fill in once and keep current. Hand it to a new vet, a boarding facility, a pet sitter or a relative who steps in. It collects the basics in one place: who your pet is, who your vets are, what your pet is allergic to, which conditions your vet has told you about, what medications are being given, and any past surgeries. It records what your vet has already told you. It does not diagnose anything.
Pet medical history
Pet's name
Species and breed
Sex
Birth date or age
Color and markings
Microchip number
Updated on
Owner and vets
Owner
Owner phone
Backup contact
Backup phone
Regular vet or clinic
Clinic phone
Emergency clinic
Emergency phone
Allergies and past reactions
Health conditions my vet has told me about
Current medications and supplements
Medication (name on label)
What it is for (as my vet said)
Times per the label
Prescribed by
Past surgeries and major illnesses
Food I feed
Pet insurance and policy number
Copy everything from your vet's records or the labels. Leave anything you are not sure of blank and ask your clinic.
How to fill it in
Work from your vet's records, the medication labels and any paperwork from other clinics. Fill in the basics first, then the contacts, then the medications. For each medication, write the name as it appears on the label, what your vet said it is for, and the times printed on the label. If you do not know something, leave the space blank and ask your clinic at the next visit. A blank line is better than a guess.
Who to give it to
Hand a copy to a new vet, a boarding facility, a groomer or daycare that asks about your pet's health, and to anyone who steps in to care for your pet. Keep a photo of the finished form on your phone as well, so it is with you if you ever need to go to an emergency clinic. Ask people you hand it to to keep it private, since it holds your phone number and your pet's details.
Keep it current
Write the date at the top each time you update it, and replace the sheet whenever a medication starts, stops or changes. An old copy that lists a medication your pet no longer takes can cause confusion, so throw out outdated copies. A fresh sheet takes only a few minutes to rewrite.
No. Your vet holds the official records. This is a summary you keep for your own use and to hand to others.
Why is there a "what it is for" column?
Labels do not always say why a medication was prescribed. Writing down what your vet told you helps anyone else who has to give it, and helps a new vet understand the full picture.
What if I do not know the answer to a question?
Leave it blank, and ask your clinic for a copy of your pet's records. Do not fill in a guess.
About this template
Print it as often as you like. Leave anything you do not need blank. Fill in the top fields by hand once, then copy the sheet for later weeks.
A history that is written down once can be handed over in seconds. PetDose is a free pet medication tracker that shows what is done and who did it, on one iPhone. It also shows what is due, warns you before a second dose, and sends a reminder only when something is overdue. Free to track, no account, and everything stays on your phone. Pro adds full history and a vet visit report you can send or print.