Veterinary Practice Registration Form

Thank you for your interest in VetCheck!

VetCheck is your complete digital hospital workflow and client communication solution with:

practice forms with e-signature
customizable treatment plans & task alerts
digital GA and dental charts
electronic prescription
discharge instruction templates
home care videos
health programs
social media

To ensure we provide the highest quality of service to our community, we check and validate all registering veterinary practices.

Please complete this registration form to get a VetCheck account set up for your veterinary practice and team.

Your details

Full name

Phone

Super user details (Main contact responsible for set up and implementation)

Super user name

Super user phone

Super user email

Practice details

Practice name

Address

Suburb

State

Country

Postal code

Please select your region:

Americas

Asia Pacific

Europe

Other

Practice email (this is where the practice forms will be returned to)

Practice phone

Practice management system (PMS)

PMS version

Number of full-time equivalent veterinarians (FTE)

Please list any veterinary affiliations/memberships

Would you like to set up admin access to restrict other users from editing?

Yes

If yes, please provide admin email address

Comments

All tools (from $199 per month for < 3 FTE vet practice and $299 for 4-10 FTE vet^*)

Client comms and forms (from $80 per month for < 3 FTE vet practice^**)

Vet tools (additional $50 per month)

Marketing tools (additional $50 per month)

Hospital workflow (additional $200 per month)

Veterinary Practice Registration Form

Your details

Super user details (Main contact responsible for set up and implementation)

Practice details

VetCheck Membership Details

Preferred payment method