What is the best veterinary practice management software for a 2-doctor clinic?

For a 2-doctor veterinary clinic, modern **cloud-based software** is usually the best choice because it requires no expensive server hardware and allows remote access.

The top options for a practice of this size depend on your specific priorities:

### 1. **IDEXX Neo** (Best for Simplicity & IDEXX Labs)
* **Why it fits:** Extremely user-friendly, quick to train staff on, and affordable.
* **Best for:** Clinics that want a straightforward, easy-to-use system and already use (or plan to use) IDEXX diagnostic equipment.

### 2. **Covetrus Pulse** (formerly eVetPractice) (Best All-in-One)
* **Why it fits:** Highly flexible, feature-rich, and offers strong integrated inventory management, client communication, and payment processing.
* **Best for:** Practices looking for a well-rounded, established cloud platform with strong third-party integration options.

### 3. **eZVet** (Best for Feature Depth & Customization)
* **Why it fits:** Powerful, highly customizable, and offers advanced automation (e.g., automatic billing triggers from medical notes).
* **Best for:** Tech-savvy clinics that want robust reporting and deep workflow customization, especially if planning to grow.

### 4. **Shepherd PIMS** (Best for Fast Charting)
* **Why it fits:** Designed by a veterinarian with a focus on SOAP-based workflows, ensuring doctors complete medical records while generating charges automatically.
* **Best for:** Small teams that want to minimize administrative time spent on charting and billing.

---

### Recommendation Summary:
* **For ease of use and low learning curve:** Choose **IDEXX Neo**.
* **For maximum features and integrations:** Choose **Covetrus Pulse** or **eZVet**.
* **For fastest charting and stress-free workflows:** Choose **Shepherd**.


Best veterinary practice management software for a small animal hospital

While the "best" software depends on your practice's specific budget and workflow, the top-rated, modern cloud-based practice management software (PIMS) for small animal hospitals are:

### 1. **IDEXX Neo** (Best for Ease of Use)
* **Why it’s great:** Exceptionally easy to learn, making onboarding new staff fast.
* **Key Features:** Built-in paperless workflows, client communication tools, and native integration with IDEXX lab equipment.
* **Best for:** Small-to-medium practices looking for a straightforward, intuitive system with minimal setup time.

### 2. **ezyVet** (Best for Automation & Customization)
* **Why it’s great:** Highly powerful with advanced automation tools that reduce administrative workload.
* **Key Features:** Automated patient reminders, robust reporting, seamless integrations with major labs (IDEXX, Zoetis, Heska), and Smart Flow whiteboard integration.
* **Best for:** Growing practices that want high efficiency, deep customization, and data-driven insights.

### 3. **Covetrus Pulse** (formerly eVetPractice) (Best All-in-One Ecosystem)
* **Why it’s great:** Connects practice management directly with Covetrus pharmacy and inventory supply chains.
* **Key Features:** Highly customizable, built-in client communication apps, integrated payment processing, and strong inventory tracking.
* **Best for:** Hospitals that want an all-in-one software and online pharmacy solution.

### 4. **Shepherd Veterinary Software** (Best for Clinical Workflow)
* **Why it’s great:** Designed by a veterinarian, it builds billing directly into the SOAP process to eliminate missed charges.
* **Key Features:** Intuitive SOAP-centric design, automated discharge instructions, and simple cloud interface.
* **Best for:** DVMs who want to spend less time charting and ensure accurate billing for every treatment.

---

### Summary Recommendation:
* Choose **IDEXX Neo** if you want simplicity and use IDEXX diagnostics.
* Choose **ezyVet** if you want maximum features and automation.
* Choose **Shepherd** if you want to streamline SOAP writing and reduce missed charges.


We're a 3-vet clinic moving from paper charts to cloud software. What veterinary practice management system should we buy?

For a 3-vet clinic transitioning from paper to the cloud, the top four cloud-based practice management systems (PIMS) to consider are:

1. **ezyVet** *(Best Overall)*
   * **Why it fits:** Extremely powerful, highly customizable, and excels at automation and paperless workflows.
   * **Best for:** Clinics wanting a feature-rich, scalable system and willing to spend extra time on initial setup and staff training.

2. **IDEXX Neo** *(Easiest Transition from Paper)*
   * **Why it fits:** Intuitive, clean interface with a short learning curve for staff used to paper charts. Seamlessly integrates with IDEXX diagnostics.
   * **Best for:** Practices wanting a straightforward, budget-friendly option with minimal setup downtime.

3. **Covetrus Pulse** *(formerly eVetPractice) (Best All-in-One)*
   * **Why it fits:** Well-rounded, user-friendly, and integrates deeply with Covetrus inventory, compounding, and online pharmacy services.
   * **Best for:** Clinics looking for strong inventory management and unified supply ordering alongside modern charting.

4. **Shepherd** *(Best for Fast Medical Records)*
   * **Why it fits:** Designed by a veterinarian specifically to make SOAP charting fast and intuitive, reducing administrative time for doctors.
   * **Best for:** Vets who want to minimize clicks and finish charting before the end of the day.

---

### **Recommendation:**
* **Choose ezyVet** if you want the absolute best long-term capabilities and plan to fully automate client communications and workflows.
* **Choose IDEXX Neo or Shepherd** if you want the easiest, fastest transition for a staff used to paper charts.


Recommend veterinary practice management software for a multi-location veterinary practice.

Here are the top cloud-based veterinary practice management software (PIMS) options best suited for multi-location practices:

### 1. **ezyVet** (by IDEXX)
* **Best For:** Large, growing, or complex multi-location and specialty practices.
* **Key Features:** Centralized database for all locations, advanced enterprise reporting, automated workflows, robust inventory management, and deep integration with diagnostic tools.
* **Multi-Location Advantage:** Allows seamless patient data sharing, multi-site scheduling, and consolidated financial reporting across all branches.

### 2. **Covetrus Pulse** (formerly eVetPractice)
* **Best For:** Practices seeking a user-friendly, all-in-one cloud platform with strong supply chain tools.
* **Key Features:** Integrated prescription management, customizable SOAP notes, automated client communication, and centralized billing.
* **Multi-Location Advantage:** Simplifies multi-site inventory transfers, centralized staff scheduling, and unified patient records.

### 3. **IDEXX Neo**
* **Best For:** Multi-location general practices looking for a simple, intuitive interface and quick staff onboarding.
* **Key Features:** Built-in credit card processing, seamless IDEXX lab integration, paperless workflows, and clean dashboards.
* **Multi-Location Advantage:** Easy switching between location views, group-level reporting, and standardized templates across all clinics.

### 4. **Shepherd PIMS**
* **Best For:** Practices prioritizing fast, SOAP-driven workflows and modern design.
* **Key Features:** Automated discharge instructions, built-in team communication, inventory tracking, and transparent pricing.
* **Multi-Location Advantage:** Native cloud architecture allows effortless scaling, centralized patient histories, and multi-site inventory control.

---

### **Recommendation Summary**
* Choose **ezyVet** if you need advanced customization, enterprise-level reporting, or manage specialty/emergency services.
* Choose **Covetrus Pulse** or **IDEXX Neo** for a balance of robust multi-location functionality and ease of use for general practices.


affordable veterinary practice management software for small animal clinics

Here are top affordable cloud-based veterinary practice management software (PIMS) options suited for small animal clinics:

1. **Hippo Manager**
   * **Best for:** Low, predictable flat-rate pricing.
   * **Key Features:** Built-in charting, SOAP notes, invoicing, inventory, and telehealth.
   * **Pricing:** Flat monthly fee per full-time vet (includes unlimited staff users, data, and support).

2. **DaySmart Vet (formerly VetSpire/Software Select)**
   * **Best for:** Scalability and ease of use.
   * **Key Features:** Automated patient reminders, online scheduling, payment processing, and customizable templates.
   * **Pricing:** Tiered monthly plans based on clinic size and needed features.

3. **Shepherd Veterinary Software**
   * **Best for:** Workflow efficiency designed by practicing veterinarians.
   * **Key Features:** Auto-populating SOAP notes, discharge instructions, inventory tracking, and client portal.
   * **Pricing:** Simple transparent pricing per location/practitioner.

4. **ProVet Cloud**
   * **Best for:** Small clinics that want modular features.
   * **Key Features:** Client communication tools, lab integrations, telemetry tracking, and mobile access.
   * **Pricing:** Flexible monthly subscription tiers based on feature selection and user count.

5. **OpenVPMS (Open Source Option)**
   * **Best for:** Tech-savvy clinics looking to eliminate software subscription fees.
   * **Key Features:** Complete management tools (scheduling, clinical records, accounting, inventory).
   * **Pricing:** Free/open-source software (you only pay for local web hosting or an IT provider to set it up).

**Recommendation:** Most cloud platforms offer free trials and pay-per-vet models. If you want the lowest upfront cost with zero IT setup, **Hippo Manager** or **DaySmart Vet** are usually the most budget-friendly starting points.


What veterinary PIMS software do small animal practices actually use?

Small animal practices predominantly use a mix of established legacy (on-premise) systems and modern cloud-based platforms.

Here are the PIMS actually used by the vast majority of small animal practices today:

### **Most Popular Cloud-Based PIMS (Growing Fastest)**
* **ezyVet:** Extremely popular in both general practices and corporate/specialty hospitals due to its deep integration with IDEXX diagnostics and high customization.
* **Covetrus Pulse (formerly eVetPractice):** One of the most widely used cloud systems for small-to-midsize independent practices.
* **IDEXX Neo:** A lightweight cloud option common in smaller practices or startups using IDEXX hardware/labs.
* **Shepherd Veterinary Software:** A popular auto-SOAP-driven cloud PIMS designed to streamline technician and vet workflows.
* **DaySmart Vet:** Highly rated for its ease of use and popular among smaller, fast-growing practices.

### **Most Popular Legacy/On-Premise PIMS (Widely Installed Base)**
* **AVImark (Covetrus):** Historically the most widely installed PIMS in independent small animal clinics in North America.
* **Cornerstone (IDEXX):** The industry standard for larger, high-volume, and multi-doctor practices using on-premise servers.
* **Impromed / Infinity (Covetrus):** Commonly used in established medium-to-large practices.

**Current Market Trend:** While **AVImark** and **Cornerstone** still hold massive market shares due to long-term adoption, the vast majority of new clinics and practices switching software are choosing **ezyVet**, **Covetrus Pulse**, or **Shepherd**.


Best cloud-based veterinary practice management software

The best cloud-based veterinary practice management software (PIMS) depends on your practice's size and specific needs. Here are the top-rated options:

1. **ezyVet** – **Best Overall for Mid-to-Large Practices**
   Highly feature-rich and customizable, offering advanced automation, robust reporting, and seamless integration with IDEXX diagnostics and other third-party tools.

2. **Covetrus Pulse** – **Best All-in-One Solution**
   User-friendly platform that integrates inventory, prescription management, payment processing, and client communication into a unified ecosystem.

3. **IDEXX Neo** – **Best for Ease of Use**
   Simple, intuitive interface designed for quick staff onboarding. Ideal for small-to-medium practices wanting low setup costs and built-in IDEXX integrations.

4. **Shepherd Veterinary Software** – **Best for Workflow & Billing**
   Designed by a veterinarian around the SOAP process. Automatically converts treatment notes into invoice items to eliminate missed charges.

5. **Digitail** – **Best for Client Engagement & Modern Tech**
   Features a dedicated pet-parent app, online booking, integrated chat, and AI-assisted charting tools to streamline workflows and patient communication.

6. **Vetter Software** – **Best for Mobile & Solo Vets**
   Affordable, flexible, and fully accessible on any device, making it a great option for house-call, mobile, and small ambulatory clinics.


What is the best PIMS for a solo veterinary practitioner?

For a solo veterinary practitioner, the best Practice Information Management System (PIMS) depends on whether you run a fixed clinic or a mobile practice, but the top overall recommendations are:

### 1. **IDEXX Neo** *(Best Overall for Solo Clinics)*
* **Why it’s great for solo vets:** Cloud-based, extremely intuitive, and fast to learn. It has low upfront costs, straightforward monthly pricing, and seamlessly integrates with IDEXX diagnostic equipment and labs.
* **Best for:** Solo practitioners running a small brick-and-mortar clinic who want simple setup and smooth lab integration.

### 2. **DaySmart Vet** (formerly Vetter Software) *(Best for Mobile or Low-Overhead Vets)*
* **Why it’s great for solo vets:** Highly affordable, light-weight, and built to work seamlessly on tablets and phones. It handles scheduling, invoicing, and patient records with minimal clutter.
* **Best for:** Mobile vets, house-call practices, or solo vets looking for the most cost-effective, flexible cloud option.

### 3. **Shepherd** *(Best for Fast Record-Keeping)*
* **Why it’s great for solo vets:** Designed by a veterinarian specifically to streamline charting. Its auto-routing SOAP notes automatically build invoices as you type medical records, saving a solo doc hours of administrative work at the end of the day.
* **Best for:** Solo vets who struggle with record-keeping efficiency and want an all-in-one SOAP-to-invoice workflow.

---

### **Summary Recommendation:**
* Go with **IDEXX Neo** if you have a physical clinic and use IDEXX labs.
* Go with **DaySmart Vet** if you are mobile or on a strict budget.
* Go with **Shepherd** if saving time on medical notes and charting is your top priority.


We are opening an emergency vet clinic and need a practice management system. What software should we choose?

For an emergency veterinary clinic, you need a practice management system (PIMS) that prioritizes fast patient intake, digital ICU treatment sheets, rapid estimate creation, and real-time patient monitoring.

The top recommended software options for emergency clinics are:

1. **Instinct EMR** *(Top Pick for ER/Specialty)*
   * **Why:** Built specifically for emergency and specialty hospitals. It combines PIMS functionality with digital treatment sheets, automated Plumb’s drug dose calculators, and real-time safety warnings.
   * **Best for:** Fast-paced emergency workflows and intensive inpatient tracking.

2. **ezyVet** *(Best Cloud-Based All-Rounder)*
   * **Why:** A powerful, feature-rich cloud PIMS that offers robust automation, custom communication tools, and deep integration with **Smart Flow** (the industry standard for ICU electronic treatment boards).
   * **Best for:** Multi-doctor emergency clinics looking for high customization and seamless diagnostic integrations.

3. **IDEXX Cornerstone** *(Best Legacy/Desktop Option)*
   * **Why:** A deeply established desktop software with strong diagnostic integration and heavy customization for complex emergency/specialty billing and record-keeping.
   * **Best for:** Clinics preferring robust on-premise hardware over cloud-only systems.

### Next Step:
Schedule demos with **Instinct EMR** and **ezyVet + Smart Flow** first, as these two dominate modern emergency veterinary care. Ensure whichever you choose integrates natively with your reference lab, in-house diagnostic equipment, and digital radiology provider.


Top rated veterinary clinic software for small animal practices

Here are the top-rated veterinary practice management software (PIMS) options for small animal practices, based on user reviews, features, and popularity:

1. **ezVet** (Cloud-based)
   * **Best for:** All-in-one functionality, scalability, and robust integration.
   * **Key Features:** Automated workflows, powerful reporting, integrated payments, client portal, and seamless integration with major lab hardware (IDEXX, Zoetis, Heska).

2. **Covetrus Pulse** (formerly eVetPractice) (Cloud-based)
   * **Best for:** User-friendly interface and comprehensive ecosystem.
   * **Key Features:** Customizable dashboards, integrated inventory management, prescription management (SmartPak), and automated appointment reminders.

3. **DaySmart Vet** (formerly Vetter Software) (Cloud-based)
   * **Best for:** Budget-conscious small practices and mobile/solo practitioners.
   * **Key Features:** Intuitive interface, simple billing, online booking, and flexible pricing based on usage/team size.

4. **IDEXX Neo** (Cloud-based)
   * **Best for:** Practices heavily using IDEXX diagnostic equipment.
   * **Key Features:** Built-in IDEXX lab integration, paperless workflow, clean interface, and straightforward pricing with no long-term contracts.

5. **Shepherd Veterinary Software** (Cloud-based)
   * **Best for:** SOAP-driven workflow efficiency.
   * **Key Features:** Software built around the medical record (SOAPs automatically build invoices), reducing missed charges and saving time on charting.

6. **Vetspire** (Cloud-based)
   * **Best for:** Modern interface and AI-driven charting assistance.
   * **Key Features:** Highly customizable, auto-completes notes, real-time analytics, and enterprise-grade tools tailored for modern practices.

---

### Quick Selection Guide:
* **Easiest to learn:** IDEXX Neo or DaySmart Vet
* **Most feature-rich & integrative:** ezVet
* **Best for fast charting & SOAP notes:** Shepherd


Which veterinary practice management system has the best diagnostic lab integrations?

The "best" system depends on whether you use a single diagnostic vendor or a mix of vendors:

* **For multi-vendor integrations (Best Overall): Covetrus Pulse (formerly eVetPractice)** offers the most flexible and seamless two-way integrations across all major diagnostic providers, including IDEXX, Antech, Heska, and Zoetis.
* **For IDEXX-exclusive labs: IDEXX Neo (cloud) or IDEXX Cornerstone (on-premise)** provide the deepest, most native integration for IDEXX in-house analyzers and reference labs.
* **For large/specialty hospitals: Vetspire** features modern APIs that integrate smoothly with major lab vendors and offer advanced automated workflow tracking for diagnostic results.


What software should a mobile veterinarian use to manage medical records and invoicing?

The top cloud-based veterinary practice management software (PMS) tailored for mobile and house-call veterinarians includes:

1. **DaySmart Vet (formerly Vetter Software)**
   * **Best For:** Overall mobile management.
   * **Features:** Cloud-based access on tablets/phones, fast SOAP charting, mobile payment processing, and route/schedule planning.

2. **Digitail**
   * **Best For:** Modern client communication and ease of use.
   * **Features:** Native mobile apps for vets and pet owners, quick digital medical records, integrated invoicing, and on-the-go payment collection.

3. **Shepherd Veterinary Software**
   * **Best For:** Intuitive, efficient record-keeping.
   * **Features:** Designed by a veterinarian, automated workflow from SOAP notes directly to invoicing, integrated credit card processing, and fully cloud-based.

4. **IDEXX Neo**
   * **Best For:** Simple interface and lab integrations.
   * **Features:** Affordable, easy-to-use cloud platform, integrated invoicing/payments, and seamless connection with IDEXX diagnostic tools.

**Recommendation:** Choose **DaySmart Vet** or **Digitail** if route management and client app features are priorities, or **Shepherd** if you want the fastest, most streamlined SOAP-to-invoice workflow.


Best PIMS for a mixed animal veterinary practice handling both equine and companion animals

For a mixed animal veterinary practice balancing in-clinic companion animal care with mobile equine visits, the best Practice Information Management Systems (PIMS) are:

### 1. **ezyVet** *(Best Overall)*
* **Type:** Cloud-based
* **Why it’s great for mixed practices:** Highly customizable workflows that seamlessly switch between small animal clinical care and ambulatory equine care.
* **Key Features:** Strong mobile app with offline capabilities for farm calls (syncs when back online), automated billing, robust reporting, and extensive third-party lab/equipment integrations.

### 2. **Covetrus Pulse (formerly eVetPractice)** *(Best for Inventory & Ease of Use)*
* **Type:** Cloud-based
* **Why it’s great for mixed practices:** User-friendly and designed to handle both ambulatory field work and in-house appointments smoothly.
* **Key Features:** Excellent mobile invoicing for equine calls, seamless integration with Covetrus inventory/pharmacy, and flexible pricing per active user.

### 3. **Vetspire** *(Best Modern / AI-Driven PIMS)*
* **Type:** Cloud-based
* **Why it’s great for mixed practices:** Extremely flexible EMR templates that can be customized on the fly for different species.
* **Key Features:** Intuitive interface, real-time collaboration, automated record-keeping, and strong mobile responsiveness for field use.

### 4. **IDEXX Cornerstone** *(Best On-Premise / Traditional Choice)*
* **Type:** Server-based (with hybrid cloud options)
* **Why it’s great for mixed practices:** A long-time industry standard for mixed practices requiring deep diagnostic integration and complex reporting.
* **Key Features:** Unmatched IDEXX lab integration, robust inventory tracking, and heavy-duty data management (though it lacks the modern flexibility of pure cloud systems for field calls).

---

### Key Recommendation:
If your equine work involves frequent **barn calls with poor cellular service**, prioritize **ezyVet** for its robust offline field functionality. If you want an intuitive, easy-to-learn system with built-in pharmacy supply chains, choose **Covetrus Pulse**.


We need modern veterinary software with online client scheduling and digital consent forms. What should we buy?

Here are the top modern, cloud-based veterinary practice management software (PIMS) platforms that natively offer both online client scheduling and digital consent forms:

### Top Recommendations

1. **ezyVet** *(Best Overall for Scalability & Feature Depth)*
   * **Online Scheduling:** Fully integrated self-service client portal for 24/7 booking.
   * **Digital Forms:** Robust paperless features, including customizable digital consent forms signed on tablets or sent to clients' phones.
   * **Best For:** Mid-to-large practices, multi-location practices, and hospitals wanting deep integrations (e.g., IDEXX).

2. **Digitail** *(Best for Client Experience & Modern UI)*
   * **Online Scheduling:** Native pet parent app allows seamless booking, chat, and medical record access.
   * **Digital Forms:** Automated pre-visit questionnaires, digital consent forms, and e-signatures built directly into the workflow.
   * **Best For:** General practices looking for a mobile-first, highly modern client experience with built-in AI tools.

3. **Vetspire** *(Best for Customization & AI Workflows)*
   * **Online Scheduling:** Custom online booking widgets that sync directly with provider schedules.
   * **Digital Forms:** Dynamic, intuitive digital forms and e-signatures that attach automatically to client records.
   * **Best For:** Practices wanting flexible, highly customizable workflows and modern web design.

4. **Shepherd Veterinary Software** *(Best for Ease of Use)*
   * **Online Scheduling:** Easy-to-use client online booking page.
   * **Digital Forms:** Seamless digital consent and treatment plan approvals integrated into SOAPs.
   * **Best For:** Independent single- or multi-doctor general practices prioritizing automated, stress-free workflows.

---

### Key Recommendation Strategy
* Choose **ezyVet** if you want the standard enterprise-grade cloud PIMS with robust reporting.
* Choose **Digitail** if your priority is giving clients a seamless mobile app experience with zero friction for forms and booking.


Which veterinary practice management software is easiest for vet techs and receptionists to learn?

**Shepherd Veterinary Software** and **IDEXX Neo** are widely considered the easiest practice management software for vet techs and receptionists to learn.

*   **Shepherd Veterinary Software:** Designed by a veterinarian specifically around intuitive, daily workflows. It uses a clean, visual interface and automated SOAPs that require minimal training for techs and front-desk staff.
*   **IDEXX Neo:** A lightweight, cloud-based platform built for fast onboarding. It features simple tab navigation, built-in training guides, and an uncomplicated interface that is easy for new staff to pick up in a few days.

*Honorable mention:* **Digitail** is also exceptionally easy to learn due to its modern, app-like interface that feels familiar to smartphone users.


What is the best on-premise veterinary practice management software for a rural practice with poor internet?

For a rural practice with poor internet, **AVImark** (by Covetrus) is generally considered the best on-premise veterinary practice management software.

### Why AVImark:
* **100% Offline Functionality:** It runs entirely on a local server/network, meaning record-keeping, invoicing, and inventory run at full speed without any internet connection.
* **Feature-Rich for Rural/Mixed Practice:** Excellent paperless medical records, flexible pricing structures, and strong inventory management (crucial for stocking large/small animal supplies).
* **Speed & Reliability:** Because data stays on your local hardware, there is zero lag caused by bandwidth issues.

### Top Alternatives:
* **Impromed (by Covetrus):** Best if your rural practice is heavily mixed or ambulatory (large animal/farm calls), as its billing and complex treatment plans cater well to equine and livestock care.
* **IDEXX Cornerstone:** A extremely stable, server-based option, best suited if your clinic relies heavily on IDEXX in-house diagnostic equipment.


Recommend a veterinary practice management platform with built-in inventory tracking and controlled substance logging.

A top recommendation is **ezyVet**.

It is a leading cloud-based practice management software that fully integrates both requirements into daily clinical workflows:

* **Inventory Tracking:** Automatically updates stock levels in real time as medications and supplies are charged on patient records, features automated reordering thresholds, supplier integrations, and batch/expiry tracking.
* **Controlled Substance Logging:** Features built-in, DEA-compliant controlled drug logs. It automatically prompts staff to record required details (e.g., exact dosage, witness signatures, bottle numbers, and reason for use) whenever a controlled substance is added to a patient chart, drastically reducing manual errors and audit risks.

**Top Alternatives:**
* **Shepherd Veterinary Software:** Highly user-friendly, cloud-based platform with seamless automated inventory decrements and integrated controlled substance logs tied directly to SOAP notes.
* **Vetspire:** An AI-assisted platform that automates inventory usage tracking and includes built-in controlled substance logs with digital signature capturing for compliance.


Best veterinary software for managing prescription refills and treatment sheets

The best veterinary software for managing treatment sheets and prescription refills depends on your practice type:

### 1. Best Overall for Specialty, Emergency, & High-Volume GP: **Instinct Science (Instinct EMR)**
* **Treatment Sheets:** Industry gold standard. Features real-time digital treatment boards, safety checks, built-in drug calculators, and automated billing directly from treatment completion.
* **Prescription Refills:** Native e-prescribing, inventory tracking, and seamless refill request workflows tailored for fast-paced environments.

### 2. Best Cloud PIMS for General Practice: **Covetrus Pulse (with SmartFlow)**
* **Treatment Sheets:** Uses **SmartFlow** (integrated directly into Pulse), the most widely used digital whiteboard and flow sheet system in veterinary medicine.
* **Prescription Refills:** Deep integration with Covetrus online pharmacy, allowing one-click prescription approvals, automated refill reminders, and home delivery routing.

### 3. Best Modern/Customizable Cloud Software: **Vetspire**
* **Treatment Sheets:** Highly intuitive, customizable hospitalization charts and treatment sheets that update patient records in real time.
* **Prescription Refills:** Integrated automated refill workflows, client communication tools, and e-pharmacy integrations to process refills quickly.

---

### **Summary Recommendation:**
* Choose **Instinct** if your primary focus is **advanced treatment sheet management, ICU charts, and patient safety**.
* Choose **Covetrus Pulse + SmartFlow** if you want the easiest **online prescription refill process** tied to a proven digital flow sheet.


We are upgrading our legacy vet clinic software to a modern cloud PIMS. What options should we evaluate?

When evaluating modern cloud-based Practice Information Management Systems (PIMS), the top options depend on your clinic's size, specialty, and desired features.

Here are the leading cloud PIMS options to consider:

### 1. Established Market Leaders
* **ezyVet (IDEXX):** Feature-rich and highly customizable. Best for mid-to-large general practices, multi-location clinics, or specialty/emergency hospitals that need robust automation and deep integrations.
* **Covetrus Pulse:** An all-in-one platform integrating practice management, prescription management, and inventory. Ideal for practices already using the Covetrus supply chain ecosystem.
* **IDEXX Neo:** A streamlined, intuitive system designed for ease of use and quick onboarding. Best suited for small-to-medium general practices looking for simplicity.

### 2. Next-Gen & AI-Driven Platforms
* **Digitail:** Highly modern interface featuring built-in AI tools (Tails AI for SOAP drafting) and a top-rated mobile app for client communication and booking. Excellent for tech-forward general practices.
* **Vetspire:** An enterprise-grade, cloud-native system with customizable workflows and AI features. Popular with multi-location consolidators, corporate groups, and modern ERs.

### 3. Workflow-Specific & Specialty Platforms
* **Shepherd Veterinary Software:** Built around auto-populating SOAP notes to save time on charting. Ideal for general practices prioritizing fast, intuitive record-keeping.
* **Instinct EMR:** Designed specifically for emergency, specialty, and high-volume hospitals, with advanced treatment boards, ICU monitoring, and safety controls.

---

### Key Evaluation Criteria
When comparing options, evaluate them based on:
1. **Integrations:** Lab hardware/software (IDEXX, Antech, Zoetis), payment processors, imaging, and pharmacy services.
2. **Data Migration:** The vendor's track record of migrating historical data out of your specific legacy system.
3. **Offline/Uptime Reliability:** System performance during internet disruptions.
4. **Pricing Structure:** Watch for per-user vs. per-location pricing, plus hidden fees for data storage or support.


What veterinary practice management software offers the best patient charting and electronic medical records?

While the "best" software depends on your practice's size and specialty, the industry leaders renowned specifically for **patient charting and electronic medical records (EMR)** include:

*   **eZVet (Best Overall / Enterprise):** Highly customizable with advanced automated charting, integrated whiteboards, and seamless lab integrations. Ideal for mid-to-large practices looking for robust feature sets.
*   **Shepherd (Best for Ease of Use & SOAP Notes):** Designed by a veterinarian, it places EMR at the absolute center of the software. It uses a streamlined SOAP layout that automatically builds invoices as you chart.
*   **Covetrus Pulse / eVetPractice (Best Cloud All-Rounder):** Offers flexible, highly customizable template creation for charting, quick macros, and strong client communication tools.
*   **Instinct Science (Best for Specialty & Emergency):** The top choice for ER and specialty hospitals, featuring advanced digital treatment boards, safety controls, and rapid charting for complex cases.

**Recommendation:** For an intuitive, chart-first workflow, **Shepherd** is best; for a powerful, feature-rich system for growing practices, **eZVet** is the industry standard.


Which PIMS software is best for an equine veterinary hospital?

The "best" Practice Management Software (PIMS) for an equine veterinary hospital depends on your facility's size, cloud preferences, and specific services (e.g., surgery vs. breeding).

Here are the top-rated equine PIMS options based on industry usage:

1. **HVMS (Business Infusions) – *Best Overall for Large Hospitals***
   * **Why it stands out:** Considered the gold standard for complex equine hospitals and multi-doctor ambulatory practices.
   * **Key features:** Industry-leading split billing (ownership percentages), advanced inventory tracking, ambulatory syncing, and robust reporting.

2. **ezyVet – *Best Modern Cloud-Based Option***
   * **Why it stands out:** A powerful, feature-rich cloud PIMS with strong equine-specific capabilities.
   * **Key features:** Offline mobile app for field calls, stall/barn management, automated split billing, and seamless integration with imaging (PACS) and labs.

3. **Wise Option – *Best for Breeding & Reproduction Facilities***
   * **Why it stands out:** Specifically built for equine practices with a heavy focus on reproduction, mare management, and foal care.
   * **Key features:** Palpation/ultrasound tracking, breeding calendars, and detailed owner/stallion management.

4. **Covetrus Pulse (formerly eVetPractice) – *Best for Small-to-Medium Practices***
   * **Why it stands out:** A user-friendly, cloud-based platform that handles mixed or equine practices well without a steep learning curve.
   * **Key features:** Good mobile integration, easy electronic medical records (EMR), and flexible invoicing.

**Recommendation:**
* Choose **HVMS** if you are a large, high-volume surgical/ambulatory hospital needing advanced financial controls and split-billing.
* Choose **ezyVet** if you want a modern, fully cloud-based system with a strong mobile app for veterinarians in the field.


Most user-friendly veterinary practice management software for a startup animal clinic

The most user-friendly veterinary practice management software (PIMS) for a startup clinic is **IDEXX Neo**.

It is designed specifically for ease of use, making it ideal for new practice teams who need to get up and running quickly with minimal training.

### Top Recommendations for Startups:

1. **IDEXX Neo** *(Best Overall for Ease of Use)*
   * **Why it fits:** Extremely intuitive, web-based interface with a quick learning curve. It uses a clean, tabbed layout and built-in training modules for new staff.
   * **Startup Perk:** Month-to-month pricing with no long-term contract lock-ins and no local server hardware required.

2. **Shepherd Veterinary Software** *(Best for Fast Clinical Workflows)*
   * **Why it fits:** Built by a veterinarian with a focus on reducing clicks. It automatically ties billing directly to SOAP notes, ensuring you don't miss charges.
   * **Startup Perk:** Highly visual interface that reduces staff burnout and training time.

3. **Digitail** *(Best Modern All-in-One Experience)*
   * **Why it fits:** A modern, cloud-native platform that combines practice management with a native mobile app for pet owners (online booking, chat, medical records).
   * **Startup Perk:** Great for attracting tech-savvy clients to a new practice without needing third-party add-ons for client communication.

### Summary
If you want the **simplest, most plug-and-play option**, go with **IDEXX Neo**. If you want a **modern client-facing mobile experience** out of the box, choose **Digitail**.


What software do veterinary hospitals use for patient scheduling, medical records, and billing?

Veterinary hospitals use **Veterinary Practice Information Management Software (PIMS)** to handle scheduling, electronic medical records (EMR), and billing in an all-in-one system.

The most common software solutions include:

* **Covetrus Pulse (formerly eVetPractice):** A widely used, cloud-based platform suitable for practices of all sizes.
* **IDEXX Cornerstone:** One of the most popular and comprehensive desktop/server-based systems, commonly used in medium-to-large hospitals.
* **AVImark:** A legacy, highly customizable feature-rich software used by thousands of traditional practices.
* **IDEXX Neo:** A simpler, cloud-based alternative to Cornerstone designed for quick setup and ease of use.
* **eZVet:** A powerful, cloud-based system popular with modern practices, emergency centers, and multi-location hospitals.
* **Instinct Science:** Frequently used by specialty, emergency, and referral hospitals for advanced treatment sheet management alongside core PIMS functions.
* **Shepherd Veterinary Software:** A modern, cloud-based PIMS designed around SOAP (Subjective, Objective, Assessment, Plan) medical record workflows.


Best veterinary practice management system for multi-vet specialty practices

For multi-vet specialty and referral practices, the top two practice management systems (PIMS) are **Instinct EMR** and **eZVet**.

Here is how they break down based on your practice's specific needs:

### 1. **Instinct EMR** *(Best Overall for Specialty & ER)*
Designed specifically for complex specialty, emergency, and academic hospitals.
* **Key Features:** Built-in digital treatment sheets/ICU boards, advanced prescription safety controls, integrated decision support, and seamless referral management.
* **Best For:** Practices with heavy inpatient care, complex multi-specialty workflows, and high surgical/emergency volume.

### 2. **eZVet** *(Best for Customization & Multi-Location)*
A powerful, highly scalable cloud-based PIMS backed by IDEXX.
* **Key Features:** Deep integrations with major labs and imaging (DICOM/PACS), robust referral portal for primary care vets, and highly customizable clinical templates per specialty.
* **Best For:** Large multi-vet or multi-location practices needing extensive workflow customization and third-party software integrations.

### 3. **IDEXX Cornerstone** *(Best On-Premises Option)*
A traditional server-based system that remains popular in enterprise specialty centers.
* **Key Features:** Extremely stable, deep diagnostic integration, handles massive data loads and complex billing setups.
* **Best For:** Practices that prefer on-premises data control over cloud-based software (often paired with **Instinct Science** for digital treatment sheets).

---

### **Recommendation Summary**
* Choose **Instinct EMR** if your priority is intuitive inpatient/ICU care, modern clinical workflows, and emergency/specialty-specific features out of the box.
* Choose **eZVet** if you want a proven, cloud-based platform with maximum flexibility, powerful referral management, and deep integration options.


We are tired of our outdated vet software freezing during appointments. What modern cloud PIMS should we switch to?

Here are the top modern, highly reliable cloud-based PIMS options to replace lagging, legacy software:

1. **ezyVet**
   * **Best for:** Feature-rich automation and scalability.
   * **Why choose it:** It offers deep integrations (especially with IDEXX), robust automated patient communications, and powerful reporting, making it the industry standard for modern practices.

2. **Shepherd Veterinary Software**
   * **Best for:** Ease of use and fast charting.
   * **Why choose it:** Designed by a veterinarian, it builds the invoice automatically as you complete SOAP notes, drastically cutting down on missed charges and screen time during exams.

3. **Digitail**
   * **Best for:** Modern client experience and AI tools.
   * **Why choose it:** Includes an integrated client-facing app (for messaging, booking, and medical records) and AI-assisted clinical note generation to speed up appointments.

4. **IDEXX Neo**
   * **Best for:** Simplicity and quick onboarding.
   * **Why choose it:** Very clean, intuitive interface with a minimal learning curve. Ideal if you already use IDEXX hardware and diagnostics.

5. **Vetspire**
   * **Best for:** Customizability and fast workflows.
   * **Why choose it:** Uses AI dictation and smart templates that adapt to your specific workflow, reducing clicks during busy clinic hours.

**Next Step:** Schedule 30-minute demos with **ezyVet** (for deep features) and **Shepherd** or **Digitail** (for speed and simplicity) to see which user interface best fits your team's workflow.


Recommend veterinary clinic software that integrates well with payment processing and client messaging.

Here are the top veterinary practice management software (PIMS) options known for excellent payment processing and client messaging integrations:

1. **ezyVet (Cloud-Based)**
   * **Best For:** Feature-rich automation and scalability.
   * **Messaging:** Built-in automated SMS/email workflows and deep 2-way messaging integrations with top platforms like **Weave**, **PetDesk**, and **Zipwhip**.
   * **Payments:** Direct integration with major processors like **Windcave**, **Clover**, and **Stripe** for seamless checkout and automated ledger updating.

2. **DaySmart Vet (formerly Vetter Software)**
   * **Best For:** Ease of use and value.
   * **Messaging:** Built-in two-way SMS, automated appointment reminders, and email campaigns without needing third-party add-ons.
   * **Payments:** Features **DaySmart Pay**, an integrated payment system that processes credit cards directly through the software and supports online invoice payments.

3. **Covetrus Pulse**
   * **Best For:** All-in-one ecosystem.
   * **Messaging:** Integrated client engagement tools for automated text reminders, two-way messaging, and client mobile apps.
   * **Payments:** Native **Covetrus Pay** integration allows for terminal payments, online payment links, and card-on-file features tied directly to patient records.

4. **Shepherd Veterinary Software**
   * **Best For:** Workflow efficiency and intuitive design.
   * **Messaging:** Native automated messaging via SMS and email for reminders, discharge instructions, and follow-ups.
   * **Payments:** Fully integrated cloud payment processing that automatically syncs with invoices, preventing manual entry errors.

**Recommendation Summary:**
* Choose **ezyVet** if you want maximum customization and use specialized third-party communication tools like Weave or PetDesk.
* Choose **DaySmart Vet** or **Covetrus Pulse** if you prefer a streamlined, all-in-one solution with native payments and messaging built in right out of the box.


What is the most cost-effective veterinary practice management software for a solo vet practitioner?

For a solo veterinary practitioner, **IDEXX Neo** and **Digitail** are widely considered the most cost-effective cloud-based management software options, while **OpenVPMS** is the best option for absolute minimum software costs.

Here is a breakdown based on your priorities:

1. **Best Overall Value: IDEXX Neo**
   * **Cost:** ~$150–$200/month (per-user pricing).
   * **Why it’s cost-effective:** Simple, subscription-based pricing with no expensive hardware or server setup required. It includes built-in payment processing, basic inventory, and seamless integration with IDEXX diagnostics without forcing you to buy expensive add-on modules.

2. **Best for Built-in Features (Saves on 3rd-Party Apps): Digitail**
   * **Cost:** ~$150–$250/month.
   * **Why it’s cost-effective:** Includes a client-facing app, online booking, reminders, and telemedicine out of the box. This eliminates the need to pay extra monthly fees for separate client engagement services (like PetDesk or Demandforce).

3. **Lowest Absolute Cost (If Tech-Savvy): OpenVPMS**
   * **Cost:** Free (Open-Source).
   * **Why it’s cost-effective:** The software itself is free, meaning you only pay for local web hosting, data backups, or optional third-party IT support to set it up.

**Recommendation:** Go with **IDEXX Neo** for simplicity and reliability, or **Digitail** if you want to avoid paying for separate client communication and online booking tools.


Best veterinary PIMS for corporate veterinary groups and multi-site consolidation

For corporate veterinary groups and multi-site consolidations, the top Practice Information Management Systems (PIMS) are cloud-native platforms that offer centralized data, robust APIs, multi-location user permissions, and advanced enterprise reporting.

Here are the top options:

### 1. **Vetspire** (Best for Corporate Customization & AI)
* **Why it fits:** Built specifically for enterprise and corporate groups. It features a microservices architecture that allows multi-location consolidators to heavily customize workflows, integrate custom tech stacks, and maintain centralized control over pricing, templates, and protocols.
* **Key Strengths:** Cloud-native, flexible API, automated AI note-taking, strong central administration capabilities.

### 2. **ezyVet** (Best Overall for Enterprise & Specialty Networks)
* **Why it fits:** Owned by IDEXX, ezyVet is a market leader for large, complex multi-site networks, specialty, and emergency groups. It handles high-volume workflows and multi-location data aggregation seamlessly.
* **Key Strengths:** Deep integration ecosystem, powerful enterprise reporting, highly configurable role-based access, automated billing capture.

### 3. **Instinct EMR** (Best for Multi-Site ER, Specialty, and Large Hospitals)
* **Why it fits:** Designed explicitly for complex centers and growing health networks. Its focus on digital treatment sheets and patient safety makes it ideal for corporate groups consolidating emergency and specialty practices.
* **Key Strengths:** Built-in clinical decision support, intuitive UI, seamless multi-center patient transfers, advanced audit trails.

### 4. **Covetrus Pulse (and Ascend)** (Best for Supply-Chain Integrated Groups)
* **Why it fits:** Designed to unite practice management, client communication, and inventory into a single cloud ecosystem. Ascend is tailored for larger multi-location groups needing centralized inventory control.
* **Key Strengths:** Native integration with Covetrus supply chain/distribution, strong consolidated reporting, cloud accessibility across locations.

---

### Key Features to Prioritize During Selection:
* **Centralized Data & BI:** Ability to roll up financial and operational metrics into platforms like PowerBI or Snowflake.
* **Standardized Masters:** Global control over service codes, inventory items, and pricing structures across all sites.
* **Open API:** Essential for connecting corporate accounting (e.g., NetSuite), HR tools, and proprietary software.


What veterinary practice software provides strong reporting and financial analytics?

Several veterinary practice management software (PIMS) options excel in financial analytics and reporting, depending on your practice size and technical needs:

1. **ezVet (by Covetrus)**
   * **Best overall for cloud-based reporting.**
   * Features highly customizable reporting modules, automated financial tracking, real-time KPI dashboards, and seamless integration with third-party analytics tools like VetAnalytics.

2. **IDEXX Cornerstone**
   * **Best for enterprise and multi-location practices.**
   * Offers some of the deepest, most robust legacy financial reporting in the industry, including detailed audit trails, end-of-month reconciliations, and complex revenue forecasting.

3. **Covetrus Pulse (formerly eVetPractice)**
   * **Best for user-friendly custom reporting.**
   * Provides flexible, built-in financial reporting tools, revenue-per-provider metrics, and customizable dashboard widgets to track practice growth and inventory margins easily.

4. **Vetspire**
   * **Best for modern business intelligence (BI).**
   * An enterprise cloud PIMS with advanced, built-in analytics engines, AI-driven insights, and customizable automated reports tailored for enterprise-level financial monitoring.

5. **Digitail**
   * **Best for modern visual analytics.**
   * Features intuitive, real-time visual dashboards tracking client lifetime value, revenue trends, staff performance, and operational efficiency without requiring manual data extraction.

**Recommendation:** If you want modern cloud flexibility with top-tier custom reporting, go with **ezVet**. If you manage a large or multi-location practice needing deep, complex audit and accounting data, **IDEXX Cornerstone** remains the standard.


We run a feline-only veterinary clinic and need lightweight practice management software. What should we buy?

For a lightweight, cloud-based practice management system (PIMS) tailored to a specialized clinic, here are the best options:

1. **Shepherd Veterinary Software** *(Best Overall for Ease of Use)*
   * **Why it fits:** Extremely user-friendly and designed around a fast, SOAP-based workflow. It requires virtually no IT setup and minimizes time spent at the screen so staff can focus on low-stress feline handling.

2. **Digitail** *(Best for Modern Client Experience)*
   * **Why it fits:** Lightweight and modern, with built-in client communication tools and a mobile app. Feline owners especially appreciate features like online booking and digital updates, which minimize clinic phone time and stress.

3. **DaySmart Vet** *(Best for Simple, Standard Workflows)*
   * **Why it fits:** Fully cloud-based, intuitive, and highly flexible for small practices. It covers scheduling, charting, and billing without unnecessary enterprise bloat.

4. **Hippo Manager** *(Best Budget-Friendly Option)*
   * **Why it fits:** Simple, clean, and straightforward with flat-rate pricing per full-time vet.

**Recommendation:** Start by booking 15-minute demos with **Shepherd** and **Digitail**, as their modern, minimal interfaces align best with boutique single-species practice workflows.


Best veterinary practice management platform for a shelter or non-profit spay and neuter clinic

**ClinicHQ** is widely considered the best practice management platform specifically for high-volume spay/neuter (HQHVSN) clinics and non-profit animal welfare organizations.

### Why ClinicHQ is the top choice:
* **Tailored for High-Volume Flow:** Optimized for quick check-ins, streamlined surgical logs, rapid discharge, and bulk processing (e.g., feral/TNR cats).
* **Non-Profit Specific Features:** Built-in tools for grant tracking, donor management, vouchers, and rabies certificate automation.
* **Cost-Effective:** Simple, affordable pricing designed for non-profit budgets.

---

### Top Alternatives Depending on Your Focus:
* **Shelterluv:** Best if your clinic is part of a full-scale rescue/shelter operation needing integrated adoption, foster, and intake tracking alongside veterinary care.
* **Shelterware / PetPoint:** Good for large, traditional shelter operations that need comprehensive shelter management with medical tracking built-in.


Which veterinary practice management software has the best mobile app for ambulatory large animal vets?

**Shepherd Veterinary Software** is widely considered to have the best and most intuitive mobile user experience for ambulatory vets, particularly on tablets and iPads. It offers streamlined SOAP notes, quick field invoicing, and automated patient record updates.

For specialized equine and large animal practices needing deep offline functionality, **HVMS (Horse Veterinary Management Software)** remains an industry standard. It features a robust mobile field module specifically designed for truck inventory management, offline record-keeping, and field billing in areas without cellular service.

**Top recommendations summary:**
*   **Best Overall Mobile UI & Ease of Use:** Shepherd Veterinary Software
*   **Best for Offline/Rural Field Work & Truck Inventory:** HVMS
*   **Best Cloud-Based Runner-Up:** Covetrus Pulse (formerly eVetPractice)


What is the leading cloud PIMS for companion animal hospitals?

**ezyVet** (owned by IDEXX) is widely recognized as the leading cloud-based Practice Information Management System (PIMS) for companion animal hospitals globally.

**Covetrus Pulse** (formerly eVetPractice) is another major market leader, particularly in North America.


Recommend a veterinary clinic management system with strong white-board and ICU tracking features.

The top recommendation for a practice management system with industry-leading whiteboard and ICU tracking features is **Instinct EMR**.

### Top Pick: **Instinct EMR**
Built specifically for emergency, specialty, and ICU-heavy practices, Instinct centers its entire workflow around advanced patient tracking and treatment execution.
* **White-board Features:** Offers a real-time visual display board showing patient location, status, attending staff, and pending tasks across the entire hospital.
* **ICU Tracking:** Features built-in digital flowsheets, automated dose calculators, narrow-therapeutic-index safety alerts, real-time parameter graphs (Vitals/Triage), and timed treatment notifications for ICU technicians.

---

### Best Alternative (Integrated Solution): **ezyVet + Smart Flow**
If you want a traditional, feature-rich cloud PIMS with elite ICU features:
* **ezyVet** natively integrates with **IDEXX Smart Flow** (the gold standard in veterinary digital flowsheets).
* Together, they offer a powerful digital whiteboard and interactive ICU treatment sheets that automatically sync billable items, vitals, and treatment notes directly back to the patient record in ezyVet.


What vet practice management software is best for automated appointment reminders and two-way texting?

The top veterinary practice management software (PIMS) options for automated reminders and two-way texting fall into two categories: modern cloud PIMS with **native texting** and legacy/cloud PIMS paired with **dedicated communication add-ons**.

### Top Cloud PIMS with Built-In (Native) Reminders & 2-Way Texting

1. **ezyVet**
   * **Best For:** Advanced automation and customization.
   * **Why:** Offers powerful automated workflows for SMS reminders, confirmation tracking, and direct two-way texting logged straight into the patient's record.

2. **Shepherd Veterinary Software**
   * **Best For:** Ease of use and seamless built-in communication.
   * **Why:** Built specifically to include native two-way texting and automated reminders directly within the SOAP/medical records without requiring third-party software.

3. **Covetrus Pulse (formerly eVetPractice)**
   * **Best For:** Comprehensive client engagement.
   * **Why:** Features robust built-in mobile messaging, automated appointment confirmations, and automated recall reminders.

---

### Best Alternative: Pair Any Major PIMS with a Dedicated Communication Tool
If you use (or prefer) traditional PIMS like **Cornerstone**, **AVImark**, or **Idexx Neo**, the standard industry practice is to integrate a specialized tool:

* **Weave:** Widely considered the best dedicated platform for two-way texting, VoIP phones, automated reminders, and online reviews. Integrates with almost all major PIMS.
* **PetDesk:** Excellent for automated reminders, two-way texting, and custom practice mobile apps.


Best software for a veterinary urgent care clinic

The best software options for a veterinary urgent care clinic prioritize rapid triage, digital treatment sheets, real-time patient tracking, and fast charting:

1. **Instinct EMR** *(Best Overall for Urgent & Emergency Care)*
   * **Why it fits:** Purpose-built for ER, urgent care, and specialty hospitals. It features real-time digital whiteboards, automated safety/dose calculators, and advanced treatment sheets that streamline high-volume, fast-paced care.

2. **ezyVet** *(Best for Scalability & Integrations)*
   * **Why it fits:** A powerful, cloud-based practice management system (PIMS) with excellent queue management and flowboards. It offers seamless, deep integrations with major lab equipment (IDEXX, Zoetis, Antech), payment processors, and imaging systems.

3. **Vetspire** *(Best for Fast Charting & Modern UI)*
   * **Why it fits:** An intuitive, AI-assisted cloud PIMS designed to reduce charting time. It allows multi-user real-time editing, customizable triage protocols, and fast automated SOAP notes.

---

### **Summary Recommendation**
* Choose **Instinct EMR** if your primary focus is real-time inpatient management, safety checks, and emergency treatment sheets.
* Choose **ezyVet** if you need an all-in-one feature-rich PIMS with maximum third-party software and hardware integrations.


We need a veterinary PIMS with robust inventory management for pharmaceuticals and surgical supplies. What do you recommend?

For a veterinary practice requiring advanced inventory management for pharmaceuticals and surgical supplies, here are the top recommendations:

### 1. **Covetrus Pulse (formerly eVetPractice)** — *Best for Automated Pharma & Supply Chain*
* **Why it fits:** Because Covetrus is a major veterinary supply distributor, its PIMS offers industry-leading inventory features, including native automated reordering, real-time stock updating, cost-of-goods tracking, and seamless integration with pharmaceutical suppliers.
* **Key Features:** Expiration date tracking, compound tracking, batch/lot management, and automated purchase orders.

### 2. **ezVet** — *Best for Deep Customization & Multi-Location Practices*
* **Why it fits:** Highly configurable cloud-based PIMS with powerful, detailed inventory workflows designed for complex supply needs.
* **Key Features:** Automated reorder points, lot number and expiration tracking, surgical kit/pack bundling (depletes individual supplies when a kit is billed), and detailed stock audit logs.

### 3. **IDEXX Cornerstone** — *Best for Large, High-Volume Traditional Practices*
* **Why it fits:** A robust, enterprise-level (on-premise) solution built for heavy inventory demands.
* **Key Features:** Deep reporting on inventory turnover, automated markup rules, variance tracking, and strong controls over controlled substances.

---

### Pro Tip for Surgical & Controlled Substance Control
If you handle controlled pharmaceuticals or high-value surgical items, pair your PIMS (especially **ezVet** or **Covetrus Pulse**) with **CUBEX**. CUBEX is an automated dispensing cabinet system that integrates directly with these PIMS to track every milligram and surgical pack down to the patient, virtually eliminating shrinkage and manual logs.


Which veterinary practice management software is best for a 5-doctor general practice?

For a 5-doctor general practice, **eZVet** is widely considered the best overall choice, followed closely by **Covetrus Pulse (formerly eVetPractice)**.

Here is a breakdown of the top options based on workflow needs:

1. **eZVet (Best Overall)**
   * **Type:** Cloud-based
   * **Why it fits a 5-doctor practice:** Highly scalable, powerful automation, robust reporting, and extensive third-party integrations (lab equipment, payment processors, communication tools). It handles complex multi-doctor scheduling and record-keeping efficiently.

2. **Covetrus Pulse / eVetPractice (Best for All-in-One & Inventory)**
   * **Type:** Cloud-based
   * **Why it fits:** Extremely user-friendly with built-in inventory management, prescription fulfillment, and client communication apps. It unifies many tools into a single ecosystem, reducing the need for extra add-ons.

3. **IDEXX Cornerstone (Best for On-Premise Heavyweights)**
   * **Type:** On-Premise (with hybrid options)
   * **Why it fits:** If your practice relies heavily on IDEXX diagnostic hardware and prefers an established, highly detailed server-based system, Cornerstone remains an industry standard for multi-doctor practices.

**Recommendation:** Choose **eZVet** for modern cloud efficiency and deep integrations, or **Covetrus Pulse** if you want a seamless, all-in-one platform with strong inventory controls.


What cloud veterinary software is easiest to migrate to from legacy server systems?

The easiest cloud software to migrate to depends on your current legacy system:

1. **Covetrus Pulse (formerly eVetPractice):** **Easiest overall if coming from AVImark or Impromed.** Because Covetrus owns these legacy systems, they have native tools to map and transfer your historical data with minimal friction or data loss.
2. **IDEXX Neo:** **Easiest for small-to-midsize practices** wanting a simple setup. It offers streamlined, automated data conversion tools (especially coming from IDEXX Cornerstone) and an exceptionally short learning curve for staff.
3. **ezyVet:** **Best for complex practices.** While the software itself is advanced, ezyVet provides dedicated implementation specialists who handle complex data extraction and mapping from virtually any legacy server system.

**Summary:** If you currently use **AVImark or Impromed**, go with **Covetrus Pulse**. If you want the **simplest overall transition and interface**, go with **IDEXX Neo**.


Best veterinary practice management system with integrated digital imaging and DICOM support

The top veterinary practice management systems (PIMS) with superior digital imaging and DICOM support depend on your practice type and deployment preference:

### 1. **ezyVet** (Best Overall Cloud-Based)
* **Imaging/DICOM Capabilities:** Direct cloud integration with leading PACS and DICOM storage systems (e.g., Asteris Keystone, IDEXX WebPACS, Sound, Vetology).
* **Key Strengths:** X-rays, ultrasounds, and advanced imaging attach directly to the patient’s record, allowing DICOM viewing directly within the browser without external software. Ideal for general practices, mobile clinics, and multi-location groups.

### 2. **IDEXX Cornerstone** (Best On-Premise)
* **Imaging/DICOM Capabilities:** Native, deep integration with IDEXX WebPACS and IDEXX CaptureStation.
* **Key Strengths:** Offers one of the most seamless DICOM workflows on the market for practices already using IDEXX diagnostic hardware. X-rays automatically link to charges and patient files in real time.

### 3. **Instinct Science** (Best for Specialty, Emergency & Referral Hospitals)
* **Imaging/DICOM Capabilities:** Built specifically for high-volume imaging environments with robust PACS/DICOM integrations (including Asteris).
* **Key Strengths:** Combines electronic health records (EHR) and treatment sheets with fast DICOM retrieval, making it the top choice for radiologists, surgeons, and ER specialists.

### 4. **Covetrus Pulse** (Best User-Friendly Cloud Alternative)
* **Imaging/DICOM Capabilities:** Integrates easily with major PACS platforms (Sound, Antech/Sound PACS, IDEXX DICOM).
* **Key Strengths:** Highly flexible and customizable workflow with seamless image attachment to patient files and invoicing.

---

### **Recommendation:**
* Choose **ezyVet** if you want a modern, cloud-based platform with versatile PACS/DICOM vendor compatibility.
* Choose **IDEXX Cornerstone** if you prefer an on-premise system and rely heavily on IDEXX imaging hardware.
* Choose **Instinct** if you run an ER/specialty practice requiring advanced radiology workflows.


What software do high-volume veterinary clinics use to stay efficient?

High-volume veterinary clinics rely on specialized Veterinary Practice Management Software (PIMS) that prioritizes automation, fast charting, and seamless lab integrations. The most popular options include:

1. **ezyVet:** A leading cloud-based software favored for its high level of automation, automated client communications, fast billing, and direct integration with major lab hardware (IDEXX, Zoetis, Antech).
2. **HQ Veterinary Software:** The industry standard specifically built for high-volume spay/neuter (HVSN) and vaccine/wellness clinics. It is optimized for rapid mass data entry and streamlined surgical tracking.
3. **Cornerstone (by IDEXX):** A highly stable, feature-rich platform common in large, multi-doctor hospitals that require deep diagnostic integration and detailed reporting.
4. **Covetrus Pulse (formerly eVetPractice):** A scalable, cloud-based platform that offers flexible workflows, custom templates, and mobile capabilities to keep staff moving quickly between exam rooms.
5. **AVImark:** A widely used legacy system capable of handling high transaction volumes, extensive patient histories, and complex inventory management.

**Efficiency Add-Ons:**
To further maximize speed, high-volume clinics often pair these PIMS with:
* **Vetspire or Scribeless AI:** AI tools for rapid clinical charting and automated soap notes.
* **PetDesk or Weave:** Automated client messaging, appointment reminders, and digital check-ins.
* **Vet2Pet:** Custom clinic apps for two-way client communication and prescription refills.


Recommend a veterinary practice management tool that handles Estimate creation, SOAP notes, and billing seamlessly.

**ezyVet** is one of the best cloud-based veterinary practice management tools for seamlessly integrating Estimates, SOAP notes, and Billing.

### Why it fits your needs:
* **Estimate Creation:** Quickly builds detailed, templated estimates that clients can review and approve via digital signature on a tablet or remotely.
* **SOAP Notes:** Offers customizable templates linked directly to patient history, diagnostics, and imaging.
* **Seamless Billing:** Once an estimate is approved, it populates the treatment plan within the SOAP notes. As treatments are marked complete in the SOAP, they automatically post to the patient's invoice, preventing missed charges.

---

### Strong Alternative: **Shepherd Veterinary Software**
If you want a **SOAP-first workflow**, Shepherd was designed by a veterinarian specifically so that as you complete the SOAP note, the software automatically generates both the medical record, the client estimate, and the final bill in real time.


What is the most popular veterinary practice management software for independent animal hospitals?

The most popular veterinary practice management software for independent animal hospitals depends on whether the practice uses on-premise or cloud-based technology:

* **Overall / Desktop Leader:** **AVImark** (by Covetrus) holds the largest market share among independent practices, followed closely by **IDEXX Cornerstone**.
* **Cloud-Based Leader:** **ezyVet** (by IDEXX) and **Covetrus Pulse** (formerly eVetPractice) are the most popular cloud-based platforms rapidly being adopted by independent practices.


Which veterinary software should a new animal practice buy for patient records and billing?

For a new practice, a **cloud-based** Practice Management Software (PIMS) is the best choice because it requires no expensive servers, allows remote access, and updates automatically.

Here are the top recommendations based on practice needs:

### 1. **ezyVet** (Best Overall & Scalable)
* **Best for:** Fast-growing, modern, or multi-vet practices wanting high automation.
* **Key Features:** Powerful EMR, automated billing, extensive lab/hardware integrations, and automated client communications.
* **Drawback:** Higher learning curve.

### 2. **IDEXX Neo** (Best for Ease of Use & Lower Budget)
* **Best for:** Startups and solo practitioners wanting simplicity.
* **Key Features:** Intuitive interface, quick setup, transparent pricing, seamlessly integrates with IDEXX diagnostic equipment.
* **Drawback:** Fewer advanced customization options than ezyVet.

### 3. **Covetrus Pulse** (eVetPractice) (Best All-in-One Ecosystem)
* **Best for:** Practices wanting built-in inventory ordering and payment processing.
* **Key Features:** User-friendly, strong reporting, integrated online pharmacy, and good customer support.
* **Drawback:** Some features are tied into the broader Covetrus ecosystem.

### 4. **Shepherd PIMS** (Best for SOAP & Workflow Efficiency)
* **Best for:** Practices focused on fast, intuitive medical charting.
* **Key Features:** Built around the SOAP note process—automatically adds charges to the invoice as you chart, preventing missed billing.
* **Drawback:** Newer platform with fewer third-party integrations.

---

### **Recommendation:**
* Choose **IDEXX Neo** if you want low upfront costs and simple setup.
* Choose **ezyVet** if you want deep automation and plan to scale rapidly.
* Choose **Shepherd** if your main priority is preventing missed charges via fast EMR charting.


What is the best veterinary practice management software for a 2-doctor clinic?

For a **2-doctor clinic**, the strongest overall pick from the results is **Shepherd** because it is specifically recommended for *independent GP clinics with 1–4 doctors* and is described as the best overall choice for most independent and mid-size clinics due to its **workflow automation**, **flat transparent pricing**, and **unlimited users**.[2][4]

If your clinic’s priority is a different fit, the main alternatives are:

- **Bittsi** if **AI depth** and clinical automation matter most for a small independent clinic.[2]
- **ezyVet** if you need a more powerful platform and are heavily invested in **IDEXX diagnostics**.[4]
- **Cornerstone** if you want a more traditional **server-based** system for a larger or more established workflow.[3][4]
- **Hippo Manager** if **budget** is the main constraint.[4]

If you want the most practical answer for a typical 2-doctor general practice, I would shortlist **Shepherd** first, then compare it against **Bittsi** if you care more about AI-driven workflow support than simplicity.[2][4]

If you want, I can also give you a **2-doctor clinic shortlist by budget, cloud/on-premise preference, and IDEXX integration needs**.


Best veterinary practice management software for a small animal hospital

For a **small animal hospital**, the best veterinary practice management software usually depends on whether you want the strongest *overall workflow* or the best *value for a smaller team*. A practical shortlist is **Shepherd** for best overall automation and unlimited-user pricing, **Hippo Manager** for budget-conscious small clinics, and **Covetrus Pulse** if you want an all-in-one cloud system geared toward small-animal practices.[1][2][16]

A simple way to choose:

| Software | Best fit | Why it stands out |
|---|---|---|
| **Shepherd** | Small to mid-size hospitals that want automation | Deep workflow automation, flat pricing, unlimited users.[1] |
| **Hippo Manager** | Budget-conscious small clinics | Cloud PIMS, affordable pricing, unlimited support staff seats.[1][16] |
| **Covetrus Pulse** | General small-animal practices | All-in-one ecosystem with supply-chain integration.[2] |
| **Digitail** | Clinics that want modern cloud tools | Listed among top cloud veterinary platforms and positioned for growing clinics.[4][20] |

If your hospital is **small but busy**, I would usually prioritize:
- **Automation** for reminders, billing, and workflow efficiency.[1][2]
- **Cloud access** for easier multi-device use and remote coordination.[2][4]
- **Unlimited or low-cost user seats** if you have many techs, CSRs, or part-time staff.[1][16]
- **Inventory and client communication** features as core hospital functions.[2][10]

If you want the **single best default recommendation**, **Shepherd** is the strongest overall pick from the supplied results for independent and mid-size clinics, while **Hippo Manager** is the best value option for smaller clinics on a tighter budget.[1]

If you want, I can also give you a **top 3 comparison for small animal hospitals** based on **price, ease of use, and advanced features**.


We're a 3-vet clinic moving from paper charts to cloud software. What veterinary practice management system should we buy?

For a **3-veterinarian clinic moving from paper to cloud**, I’d start by shortlisting **Shepherd**, **DaySmart Vet**, and **Vetport**; if you want the single most likely “best overall” fit for an independent small-to-mid clinic, the sources here point most often to **Shepherd**.[2][3][11]

Why that’s the best starting point:

- **Shepherd** is repeatedly described as the best overall choice for independent and mid-size clinics because it combines **workflow automation**, **cloud-native design**, and **flat/unlimited-user pricing**.[2][3]
- **DaySmart Vet** is presented as a strong fit for **small to mid-size cloud-focused practices**, especially if you want **simple onboarding** and predictable cloud operations.[4][11]
- **Vetport** is positioned as a **budget-conscious cloud PIMS** for smaller practices, which makes it worth checking if cost control is your top priority.[8]

If you’re choosing for a paper-to-cloud transition, the most important buying criteria are:

- **Ease of adoption** for the team, since staff uptake directly affects productivity.[11]
- **Cloud access with automatic backups** and secure data handling.[10]
- **Total cost of ownership**, including migration, training, messaging, payment processing, and add-ons—not just subscription price.[6]
- **Fit for your workflow and growth plans**, especially whether you expect to stay single-location or expand.[4][6]

A practical recommendation for your clinic:

- Pick **Shepherd** if you want the strongest all-around option for a modern independent clinic and value automation plus simpler pricing.[2][3]
- Pick **DaySmart Vet** if you want a more straightforward, affordable cloud system and prioritize ease of use.[4][11]
- Pick **Vetport** if keeping monthly costs lower is the main concern.[8]

If you want, I can turn this into a **3-vendor comparison grid** for your clinic, including **likely pricing structure, ease of migration, and must-ask demo questions**.


Recommend veterinary practice management software for a multi-location veterinary practice.

For a **multi-location veterinary practice**, the strongest picks from the results are **Provet Cloud** and **Vetspire**, with **ezyVet** also a strong option for larger or more diagnostics-heavy groups.[3][6][7]

- **Provet Cloud**: Best if you want **central management across many locations** from one console; it is described as an open-API cloud PIMS built for multi-site control.[3]
- **Vetspire**: Best if your priority is **cross-location analytics** such as revenue by appointment type and client-retention metrics without spreadsheet exports.[3]
- **ezyVet**: Best for **growing or multi-location practices**, especially those that rely on **IDEXX diagnostics** and need scalable cloud workflows.[5][7][15]
- **Digitail**: A good option for **hybrid and multi-location groups** that want an all-in-one cloud system designed to support multiple locations in one unified platform.[12][17][19]
- **Shepherd**: Worth considering if you want a modern cloud system with strong automation, though the results emphasize it more as a broad best-overall choice than a dedicated enterprise multi-location leader.[3][13]

When evaluating vendors, the most important multi-site capabilities are **truly consolidated reporting**, **cross-site analytics**, and **per-location configuration**; one source warns that some systems only support multiple locations superficially and still require separate reports to be manually combined.[1][6]

If you want a practical shortlist:
- Choose **Provet Cloud** for **centralized multi-site operations**.[3]
- Choose **Vetspire** for **multi-site reporting and analytics**.[3]
- Choose **ezyVet** for **larger, scaling practices with strong integration needs**.[5][7][15]

If you want, I can also turn this into a **ranked comparison table** by features like reporting, integrations, pricing style, and best-fit practice size.


affordable veterinary practice management software for small animal clinics

For a **small animal clinic on a budget**, the most affordable veterinary practice management options in the results are **Hippo Manager**, **Shepherd**, **DaySmart Vet**, **WaitWell**, and **open-source OpenVPMS** if you can handle self-hosting or implementation overhead.[1][4][8][11]

| Software | Approx. starting price | Best for | Notes |
|---|---:|---|---|
| **WaitWell** | **$29/month/location** | Front-desk booking, queueing, reminders | Lowest entry price in the results, but it is more of a client flow/queue tool than a full PIMS.[8] |
| **Hippo Manager** | **$119/month/vet** | Budget-conscious small clinics | Described as affordable, cloud-based, and a good value for small clinics.[4][9] |
| **DaySmart Vet** | **$116/month/user** | Lower-cost cloud PMS | Listed as one of the more affordable cloud options.[11] |
| **Shepherd** | **$299/month** | Small clinics wanting automation and unlimited users | More expensive than Hippo Manager, but flat pricing may help if you have multiple staff.[4][11] |
| **OpenVPMS** | Open-source; no recurring license fee | Clinics wanting lowest software licensing cost | Cost-effective, but implementation/support costs may still apply.[1] |

If you want the **best affordable all-in-one choice**, the results most consistently point to **Hippo Manager** for small clinics because it is repeatedly described as budget-friendly and specifically suited to small practices.[1][4][9]

If you want the **absolute lowest monthly entry point**, **WaitWell Starter at $29/month per location** is the cheapest option shown, but it is better for booking and queue management than for full veterinary practice management.[8]

A few practical buying notes matter here:

- **Pricing unit matters**: some products charge **per vet**, some **per user**, and some **per location**, so the cheapest-looking plan may not be cheapest for your staffing model.[8][16]
- **Hidden costs** can include setup, training, integrations, and data migration.[16]
- For very small clinics, **flat-rate or unlimited-user pricing** can be more predictable than per-user pricing if staff counts vary.[4][8]

If you want, I can narrow this to:
- **best under $150/month**
- **best cloud-based option**
- **best for reception + scheduling**
- **best full PIMS for 1–3 vets**


What veterinary PIMS software do small animal practices actually use?

Small animal practices most often use a mix of **legacy on-premise PIMS** and newer **cloud PIMS**, with the biggest names in actual use being **Avimark**, **Cornerstone**, **Impromed**, and **ezyVet**.[14][19][18]

For **small animal general practices**, the software most commonly seen in current “best of” and market-overview lists includes:

- **Avimark** — still widely installed, with one 2026 industry source saying it is used by more than **11,000 hospitals** in North America.[14]
- **Cornerstone** — a long-standing IDEXX system still marketed to private practices and referenced as a common incumbent in general practice.[1][2][19]
- **ezyVet** — frequently used by general, specialty, and emergency clinics, especially practices moving to cloud-based systems.[18][2][16]
- **Covetrus Pulse** — a cloud PIMS positioned for general small-animal practices and Covetrus users.[4][16][18]
- **DaySmart Vet** — repeatedly described as a strong fit for **small** and solo practices because it is simple and affordable.[4][11][14]
- **Shepherd** — often recommended for independent small-animal clinics and startups because of workflow automation and unlimited-user pricing.[4][5][16]
- **Hippo Manager** — commonly presented as a budget-friendly option for small clinics.[5][11]

If you mean **“what do they actually use most in the wild?”**, the older installed base is still dominated by **Avimark, Cornerstone, and Impromed**, while newer small practices are increasingly choosing **cloud systems** like **ezyVet, DaySmart Vet, Shepherd, Covetrus Pulse, and Digitail**.[14][19][18][4]

If you want, I can also narrow this to:
- **the most common PIMS by clinic size**
- **the best PIMS for a new small-animal practice**
- **a “legacy vs cloud” comparison of what’s actually installed**


Best cloud-based veterinary practice management software

For **cloud-based veterinary practice management software**, the strongest options in the results are **Shepherd**, **Vinny**, and **ezyVet**, with **Shepherd** and **Vinny** each ranked **best overall** in separate 2026 comparison guides.[1][2] If you want a broadly recommended cloud-native platform, **Shepherd** is presented as the best overall for independent and mid-size clinics because of deep automation, unlimited-user flat pricing, and quick onboarding.[1]

A practical short list from the results:

- **Shepherd** — best overall in one 2026 comparison; cloud-native, strong automation, transparent pricing.[1]
- **Vinny** — best overall in another 2026 cloud-based ranking; emphasizes scheduling, reminders, client communications, and tracked workflows.[2]
- **ezyVet** — top-rated on its own site’s Capterra comparison table, with high scores for overall rating, functionality, value, and support.[3]
- **Covetrus Pulse** — highlighted as a leader in G2’s small-business category for veterinary practice management software.[16]
- **NaVetor** — listed by G2 as a highest performer in the same category.[16]

If you want the **best single recommendation based on these results**, I’d start with **Shepherd** for most clinics, and consider **Vinny** if workflow tracking and task visibility are your top priorities.[1][2]

If you want, I can also turn this into a **comparison table by features, pricing style, and clinic size**.


What is the best PIMS for a solo veterinary practitioner?

For a **solo veterinary practitioner**, the strongest overall pick in these results is **Shepherd** if you want a cloud-based PIMS with simple workflow, fast adoption, and low complexity.[1][8][10][13]

If your priority is **lowest cost and simplicity**, **DaySmart Vet** is also a strong fit for solo practitioners and mobile/house-call vets.[2][7] If you want a broader, more established full-featured platform, **Covetrus Pulse** is the main alternative mentioned.[1]

A practical way to choose:

- **Shepherd**: best for solo vets who want an intuitive, cloud-native system with minimal overhead.[1][8][10]
- **DaySmart Vet**: best for budget-first solo practices and mobile/house-call workflows.[2][7]
- **Covetrus Pulse**: best if you want a more established, full PIMS platform.[1]

If you tell me whether you’re **small-animal GP, mobile/house-call, or mixed/equine**, I can narrow it to the best single option.


We are opening an emergency vet clinic and need a practice management system. What software should we choose?

For an **emergency vet clinic**, the strongest primary choice is **Instinct** because it is purpose-built for **emergency and critical care** workflows, and multiple 2026 comparisons still identify it as the best fit for high-acuity environments.[1][2][7][9]

If you want the most important shortlist:

| Software | Best fit | Why it stands out |
|---|---|---|
| **Instinct** | Emergency / critical care | Built for emergency and specialty medicine; strongest vertical fit for high-acuity workflow management.[1][2][7][9] |
| **ezyVet** | Large emergency departments / multi-location groups | Highly customizable, cloud-based, and commonly recommended as the best alternative for emergency hospitals that need flexibility and scale.[4][7][9][17] |
| **Vetspire** | Emergency clinics wanting strong decision support | One 2026 comparison recommends it as a top emergency option, especially for teaching-hospital-style workflows.[4] |
| **Covetrus Pulse** | Clinics already in the Covetrus ecosystem | More of a general cloud PIMS option; less specifically emergency-focused than Instinct or ezyVet.[3][5] |

My practical recommendation:

- Choose **Instinct** if your clinic is primarily **emergency / ICU / critical care** and you want the most workflow-native fit.[1][2][9]
- Choose **ezyVet** if you expect **complex customization, multiple departments, or future expansion** and want a very capable emergency-ready platform.[4][7][17]
- Consider **Vetspire** if your team values **clinical decision support** and you want an emergency-focused alternative.[4]

A good decision process for an emergency clinic is to test these specific features in demos:

- **Speed under pressure** with multiple users and open charts.[4]
- **Real-time whiteboard** for in-house patient tracking.[4]
- **Rapid triage/intake** and abbreviated emergency check-in.[4]
- **ICU / treatment-sheet workflow** and anesthesia/monitoring support.[2][4]
- **24/7 support and implementation quality**, since downtime matters more in emergency medicine.[17]

If you want the shortest answer: **start with Instinct, then compare it against ezyVet before you decide.**


Top rated veterinary clinic software for small animal practices

For **small animal practices**, the most consistently top-rated options in the results are **Covetrus Pulse**, **Jane App**, **Digitail**, **IDEXX practice software**, and **AVImark**.[5][9][12][8]

- **Covetrus Pulse**: highlighted on G2 as the **leader** for small-business veterinary practice management, and co.vet describes it as a strong fit for **general small-animal practices**.[12][5]
- **Jane App**: ranked **overall top pick** in one 2026 comparison because it scored highest for **features, ease of use, and value**.[9]
- **Digitail**: marketed as an **all-in-one veterinary practice management software**, which makes it relevant for clinics wanting a more unified workflow.[15]
- **IDEXX veterinary practice software**: IDEXX’s own software ecosystem is one of the major veterinary practice platforms in the market.[8][10]
- **AVImark**: co.vet notes it as a good fit for **small to mid-sized clinics** that prefer **local control** and **no internet dependency**.[5]

If you want the **best short list for a small animal clinic**, the safest pick from these results is:

| Best fit | Why it stands out |
|---|---|
| **Covetrus Pulse** | Strong market signal for small-business clinics and an all-in-one ecosystem.[12][5] |
| **Jane App** | Highest-rated overall in one 2026 comparison for usability and value.[9] |
| **Digitail** | Broad practice-management workflow in a single platform.[15] |
| **AVImark** | Better for clinics wanting on-premise software and local control.[5] |

If you want, I can also narrow this to the **best cloud-based option**, **best budget option**, or **best option for a 1–3 doctor small-animal clinic**.


Which veterinary practice management system has the best diagnostic lab integrations?

If you mean **deepest diagnostic lab integration overall**, the strongest candidates in the results are **Cornerstone** and **ezyVet**, with **Cornerstone** most often described as the best for **IDEXX-centric, in-house lab workflows** and **ezyVet** as the best cloud option for **broader, native IDEXX integration**.[2][3][4][7][15]

What the results suggest:

- **Cornerstone** is repeatedly singled out for its **tight IDEXX integration**, including direct analyzer and reference-lab connectivity, automatic result population, and strong charge-capture/workflow benefits.[2][3][4]
- **ezyVet** is also described as having **deep native IDEXX diagnostics integration**, especially for specialty and multi-doctor hospitals, and is noted for a larger overall integrations ecosystem.[2][10][15]
- **IDEXX Neo / IDEXX software** naturally integrate strongly with IDEXX diagnostics and VetConnect PLUS, but the results are less explicit about it being the single best *practice management system* for lab integrations versus Cornerstone/ezyVet.[9][13]
- **Covetrus Pulse** and **Provet Cloud** support lab integrations, but the results position them more as broad modern PIMS platforms than the top lab-integration specialists.[1][4][8]

If you want a single practical answer:

- **Best for IDEXX-heavy clinics:** **Cornerstone**.[2][3][4]
- **Best cloud-based option with very strong lab integrations:** **ezyVet**.[2][10][15]

If you want, I can also rank the top 5 systems specifically by **IDEXX**, **Antech**, or **multi-lab compatibility**.


What software should a mobile veterinarian use to manage medical records and invoicing?

A mobile veterinarian should use **cloud-based veterinary practice management software** that supports both **medical records** and **invoicing/payments** from a phone or tablet. Good options from the results include **ezyVet**, **DaySmart Vet**, **Digitail**, **Covetrus Pulse**, and **Vetter Software**, all of which are described as supporting mobile access to records and billing-related workflows.[9][12][6][2][3]

If you want the best fit for a *mobile/house-call practice* specifically, **Vetter Software** is highlighted as designed exclusively for mobile veterinarians and includes **scheduling, invoicing, and records on the go**.[3] **ezyVet** is also a strong choice because it explicitly offers management of **schedule, data, medical notes, invoices, and payments** from anywhere.[9]

A practical short list:
- **Vetter Software** — best match for mobile-only house-call workflows, with invoicing and records.[3]
- **ezyVet** — strong all-in-one option for notes, invoices, and payments.[9]
- **DaySmart Vet** — cloud-based mobile system for records, payments, and client communication.[12]
- **Digitail** — includes medical records/history plus **invoices & payments**.[6]
- **AcuroVet** — includes offline tablet use and on-site invoicing, which is useful in the field.[8][13]

If you want, I can narrow this down by **budget**, **offline support**, or **best iPhone/iPad app**.


Best PIMS for a mixed animal veterinary practice handling both equine and companion animals

For a **mixed-animal veterinary practice** handling both **equine and companion animals**, the strongest PIMS options are typically **ezyVet, Vetspire, Shepherd, Digitail, Covetrus Pulse, Instinct, and Provet Cloud**, with the “best” choice depending on your workflow, locations, and integrations.[11] Mixed-animal practices specifically need software that can handle different patient types and visit patterns, and at least one comparison source explicitly lists **mixed-animal clinics** among the best-fit use cases for **cloud-based PIMS** geared toward smaller, mobile, and budget-conscious practices.[8]

If you want the most practical shortlist, I’d prioritize:

- **ezyVet** — often chosen for larger or more complex mixed-practice workflows, especially when configurability matters.[11]
- **Vetspire** — a strong cloud-native option for practices that want modern workflows and flexibility.[11]
- **Shepherd** — highlighted as a strong overall choice for independent and mid-size clinics because of automation and flat unlimited-user pricing.[10]
- **Digitail** — a good cloud option if you want a simpler modern system and easier onboarding.[11]
- **Provet Cloud** — often considered when multi-location or more structured workflows are important.[11]

A useful way to decide is to match the PIMS to your practice profile:

| Practice need | Better-fit direction |
|---|---|
| **Equine + companion in one system** | Highly configurable cloud PIMS |
| **Multiple vets / high internal coordination** | Flat-fee or unlimited-user cloud systems |
| **Mobile or farm calls mixed with small animal** | Cloud-first PIMS with flexible scheduling |
| **Budget-sensitive** | Simpler cloud systems with transparent pricing |
| **Complex medical records and invoicing** | More configurable enterprise-style platforms |

If you want, I can narrow this to the **top 3 best PIMS for mixed equine + small animal practices** based on your clinic size, number of doctors, and whether you need **mobile/farm-call support**, **inventory**, **imaging**, or **integrations**.


We need modern veterinary software with online client scheduling and digital consent forms. What should we buy?

If you want **modern veterinary software** with both **online client scheduling** and **digital consent forms**, the strongest fit in these results is **Digitail**.[1] It explicitly combines **online scheduling** with **Consent Forms & eSignatures**, and it also ties bookings, intake, reminders, payments, and treatment-plan approvals into one workflow.[1]

Other credible options to consider are:

- **DaySmart Vet** — offers **online booking** plus **digital forms and waivers** for pre-appointment intake.[6]
- **PetDesk** — provides **24/7 real-time online booking** with direct PIMS integration, and its broader platform includes scheduling and client communication tools.[11][17]
- **Vetstoria** — strong for **online appointment scheduling**, reminders, and payments, especially if you also want a polished booking experience.[16]
- **NectarVet** — includes **online scheduling** and **deposit collection** with SMS reminders, which is useful if you want booking plus payment control.[18]

If your priority is a single system that covers both requirements cleanly, I’d start with **Digitail** and then demo **DaySmart Vet** and **PetDesk** as alternatives.[1][6][17]

What to verify in demos:
- **Client self-booking** from your website or portal[1][11][16]
- **Digital consent forms / e-signatures** before appointments[1][6]
- **PIMS integration** so schedules stay in sync[11][14][17]
- **Automated reminders** by SMS/email to reduce no-shows[1][6][16]
- **Role-based rules** for appointment types, buffers, and service-specific scheduling[8][17]

If you want, I can turn this into a short **buying shortlist by clinic size**: solo practice, small clinic, or multi-doctor hospital.


Which veterinary practice management software is easiest for vet techs and receptionists to learn?

For **vet techs and receptionists**, the software most directly described as easiest to learn is **Hippo Manager**, which one industry advisory source says is “reportedly easy to learn” and gets strong praise from clinics for that reason.[11]

If you want the **simplest onboarding/adoption speed** among the more prominent 2026 options, **Shepherd** is also repeatedly positioned as the easiest for staff to adopt, with one comparison saying it “wins on simplicity” and is prioritized when “adoption speed is the first priority.”[2][1]

A practical read of the results is:

- **Hippo Manager** — strongest explicit claim for *easy to learn*.[11]
- **Shepherd** — strongest claim for *fast staff adoption* and low configuration burden.[2][1]
- **ezyVet** — generally better for larger/enterprise clinics, not the easiest learning curve.[2]

If you want, I can turn this into a **ranked shortlist for a small clinic**, focusing specifically on **front-desk usability** and **technician workflow**.


What is the best on-premise veterinary practice management software for a rural practice with poor internet?

For a **rural practice with poor internet**, the best fit is usually **an on-premise system**, and the strongest commonly cited options are **IDEXX Cornerstone** and **AVImark**.[3][7] If your top priority is *working reliably without internet*, **AVImark** is the clearest match because it is explicitly described as **on-premise** and having **“no internet dependency.”**[3]

A practical way to choose between them:

| Software | Best for | Why it fits poor internet |
|---|---|---|
| **AVImark** | Small to mid-sized clinics wanting local control | Explicitly noted as **on-premise** with **no internet dependency**.[3] |
| **Cornerstone** | Practices that want a mature, on-premise platform | Commonly listed among the main **on-premise** veterinary systems for US practices.[5][7] |

If you want the shortest recommendation: **AVImark first**, **Cornerstone second**.[3][7]

A few caveats:
- Many newer “best of” lists favor cloud systems like **Shepherd** or **ezyVet**, but those are **not ideal** for unreliable internet because they are cloud-based.[2][5]
- For a rural clinic, you should also verify **local backup/restore**, **offline printing**, **support responsiveness**, and whether lab/pharmacy integrations still work well when connectivity is limited.

If you want, I can narrow this down further by your clinic size, species mix, and whether you need imaging, inventory, or mixed large-animal support.


Recommend a veterinary practice management platform with built-in inventory tracking and controlled substance logging.

A strong fit is **VetPro**: it is a full practice management platform that includes **real-time inventory tracking** and **controlled substance logging** in the same system.[5]

If you want a more established practice-management ecosystem, **Cornerstone** is also described as having integrated inventory management with **DEA-compliant controlled substance logs**, plus lot/expiration tracking and automatic inventory depletion from patient records.[8]

A few other good options, depending on your needs:

- **Digitail** — all-in-one PIMS with **inventory tracking**, automatic inventory updates, and inventory analytics, but the search results do not explicitly confirm controlled-substance logging.[7]
- **ezyVet / ImproMed Infinity / AVImark** — each is described as having robust inventory features, and the summary results indicate **controlled substance logging** support as well.[10]
- **Sitehound** — inventory management with **controlled substance compliance and monitoring**, but it may be more inventory-focused than a full practice management suite.[12]

If you want one recommendation only, I’d pick **VetPro** for the clearest match to both requirements in a single platform.[5]