Template
Veterinary Laboratory Submission Form Template
A sample submission form for external laboratories: sample types, tests requested, clinical history and urgency.
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Clinic name
Address · Phone · Email
Lab submission form
Clinic
Clinic name
Veterinarian
Phone / email for results
Account no.
Patient
Patient name
Case / record no.
Species / breed
Weight (kg)
Owner
Date
Samples
☐ EDTA blood☐ Serum☐ Plasma☐ Urine☐ Faeces☐ Swab☐ Tissue (formalin)☐ Fine-needle aspirate slides☐ Other
Collection date & time
Tests requested
Clinical history & question
Current treatment
Urgency☐ Routine☐ Urgent
Template from WeVet — free veterinary resources
Frequently asked questions
Is this lab submission form template free?
Yes. You can see the whole template on this page. Downloading it for Word / Google Docs or saving it as a PDF needs a free WeVet account.
Can I add my clinic's name and logo?
Yes. Download the Word version and edit it — the clinic details at the top are blank fields.
Is the wording legally approved for my country?
No template can be. Adapt consent and record wording to your national veterinary council and local regulations before using it.
Have a case in front of you?Ask WeVet — the AI assistant built for veterinarians. Differentials, treatment plans with calculated doses, drug info from trusted sources and SOAP notes.
Ask WeVet about thisFor veterinary professionals. Information supports — never replaces — clinical judgement; always check the current product label and local regulations.