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

For a 2-doctor veterinary clinic, cloud-based practice management software is ideal because it requires minimal IT overhead and offers easy remote access.

The top options depend on your primary priorities:

* **Best Overall & Feature-Rich: ezyVet**
  * **Why:** Excellent automation, robust reporting, seamless integrations (labs, imaging, payments), and high customizability. Great if you plan to grow.
* **Best for Ease of Use & All-in-One: Covetrus Pulse (formerly eVetPractice)**
  * **Why:** Intuitive interface, easy for a small team to learn quickly, and integrates directly with Covetrus inventory and prescription management.
* **Best Budget & Simple Option: IDEXX Neo**
  * **Why:** Lightweight, affordable, easy to set up, and offers seamless plug-and-play integration if you primarily use IDEXX diagnostic equipment.
* **Best Workflow-Driven: Shepherd Veterinary Software**
  * **Why:** Built around a SOAP-based workflow designed by a veterinarian, ensuring charges are automatically captured as you write medical notes.

**Recommendation:** If you want a balance of power and scalability, go with **ezyVet**. If you want maximum ease of use and quick onboarding for a small staff, choose **Covetrus Pulse** or **IDEXX Neo**.


Best veterinary practice management software for a small animal hospital

The best veterinary practice management software (PIMS) for a small animal hospital depends on your clinic's specific priorities:

### 1. **ezyVet** (Best Overall & Most Advanced)
* **Best for:** Clinics wanting high automation, extensive customizability, and deep integration capabilities.
* **Key Features:** Cloud-based, automated client communications, powerful reporting, and seamless integration with major diagnostic labs (especially IDEXX).
* **Cons:** Steeper learning curve and higher setup effort.

### 2. **IDEXX Neo** (Best for Ease of Use & Quick Setup)
* **Best for:** Small practices looking for a straightforward, intuitive, and affordable cloud solution.
* **Key Features:** Built-in credit card processing, simple workflow, fast employee onboarding, and native IDEXX diagnostic integration.
* **Cons:** Less customizable than ezyVet for complex workflows.

### 3. **Covetrus Pulse** *(formerly eVetPractice)* (Best All-in-One Cloud)
* **Best for:** Practices wanting an integrated ecosystem for practice management, pharmacy/prescriptions, and client engagement.
* **Key Features:** User-friendly cloud platform, built-in Covetrus pharmacy integration, strong client communication tools, and mobile accessibility.
* **Cons:** Can feel bloated if you don't use the full Covetrus ecosystem.

### 4. **Shepherd PIMS** (Best SOAP Workflow)
* **Best for:** Vets who want to drastically reduce charting time.
* **Key Features:** Designed by a veterinarian, built entirely around the SOAP (Subjective, Objective, Assessment, Plan) charting process, highly intuitive interface, automatic invoice creation as you chart.
* **Cons:** Newer platform with fewer third-party integrations compared to legacy giants.

---

### **Quick Recommendation:**
* Choose **ezyVet** if you want maximum efficiency, automation, and scalability.
* Choose **IDEXX Neo** or **Shepherd** if you want something easy to learn with a short setup time.


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 right choice depends on whether your priority is **ease of learning** or **advanced automation**.

Here are the top four recommendations:

### 1. **IDEXX Neo** *(Best for the Easiest Paper-to-Cloud Transition)*
* **Why it fits:** Extremely user-friendly, clean interface, and very low learning curve for staff used to paper.
* **Best if:** You want a quick setup and already use (or plan to use) IDEXX lab equipment.

### 2. **Shepherd Veterinary Software** *(Best for Fast SOAP Charting)*
* **Why it fits:** Designed by a practicing veterinarian specifically to make charting fast and intuitive. Auto-populates discharge instructions and invoicing directly from your SOAP notes.
* **Best if:** Your vets want to minimize typing time and streamline medical records.

### 3. **Covetrus Pulse (formerly eVetPractice)** *(Best All-Around Standard)*
* **Why it fits:** A widely used, feature-rich cloud platform with broad integration options (labs, microchips, payment processors, and online pharmacies).
* **Best if:** You want a balanced, flexible system supported by a massive ecosystem.

### 4. **ezyVet** *(Best for Advanced Automation & Customization)*
* **Why it fits:** Highly powerful with deep feature sets, automated billing, and extensive reporting.
* **Best if:** You want robust enterprise features and are willing to handle a steeper learning curve for the staff.

---

### **Bottom-Line Recommendation**
* **Choose IDEXX Neo or Shepherd** if you want to minimize friction, downtime, and training time during your switch from paper.
* **Choose Covetrus Pulse or ezyVet** if you want maximum customization, heavy automation, and advanced reporting.

*Next step: Schedule 30-minute demos with **Neo** and **Covetrus Pulse** to compare their interfaces with your team.*


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

For a multi-location veterinary practice, a true cloud-based system with enterprise-level reporting, centralized patient records, and multi-site inventory management is essential.

Here are the top recommendations:

### 1. **ezVet** (Best Overall for Scale & Customization)
* **Why it fits:** Extremely powerful, fully cloud-based, and built to handle complex, high-volume, and multi-site operations (general, ER, and specialty).
* **Key Features:** Centralized database, robust enterprise reporting across locations, automated client communication, and seamless integration with major lab vendors (IDEXX, Zoetis, Heska).

### 2. **Covetrus Pulse (formerly eVetPractice)** (Best for All-in-One Integration)
* **Why it fits:** Highly flexible, user-friendly cloud platform designed to scale easily as you add new clinics.
* **Key Features:** Centralized multi-location inventory, built-in Covetrus prescription management, integrated payment processing, and customizable workflows per location.

### 3. **IDEXX Neo** (Best for Ease of Use & Fast Onboarding)
* **Why it fits:** Intuitive, modern cloud software that requires minimal training time, making it ideal if you are acquiring existing practices or hiring frequently across sites.
* **Key Features:** Seamless native integration with IDEXX diagnostic hardware and labs, simple multi-location switching, and built-in reporting dashboards.

### 4. **Instinct Science** (Best for ER, Specialty, and High-Volume Practices)
* **Why it fits:** Built specifically for complex medical workflows, electronic treatment sheets, and multi-location emergency or referral centers.
* **Key Features:** Real-time patient digital whiteboards, safety-focused dosing calculators, and advanced practice analytics.

---

### Key Recommendation Criteria
If you prioritize **deep customization and analytics**, go with **ezVet**. If you want an **easy-to-learn system with integrated prescription fulfillment**, choose **Covetrus Pulse**.


affordable veterinary practice management software for small animal clinics

Here are the most affordable and well-regarded veterinary practice management software options for small animal clinics:

### 1. **Hippo Manager**
* **Pricing Model:** Flat rate per veterinarian per month (unlimited staff users, patients, and support).
* **Best For:** Small to mid-sized practices wanting predictable costs.
* **Key Features:** Cloud-based, integrated charting, e-prescriptions, inventory, and payment processing.

### 2. **IDEXX Neo**
* **Pricing Model:** Low monthly subscription with no long-term contracts.
* **Best For:** Small or solo practices looking for simple, intuitive software.
* **Key Features:** Built-in IDEXX diagnostics integration, easy scheduling, cloud-based, and built-in client messaging.

### 3. **Digitail**
* **Pricing Model:** Transparent tiered monthly pricing.
* **Best For:** Modern clinics wanting an affordable, all-in-one system with strong client communication tools.
* **Key Features:** Native pet owner app, online booking, digital SOAP notes, and automated reminders.

### 4. **VetPORT**
* **Pricing Model:** Tiered monthly subscription based on practice size.
* **Best For:** Budget-conscious clinics needing a robust, cloud-based electronic health record (EHR) system.
* **Key Features:** Comprehensive SOAP notes, inventory tracking, telemedicine tools, and multi-location support.

### 5. **OpenVPMS** (Open Source)
* **Pricing Model:** Free software (costs only apply if you hire a third-party partner for setup, hosting, or support).
* **Best For:** Tech-savvy clinics on an extremely tight software budget.
* **Key Features:** Fully customizable, covers appointments, clinical records, invoicing, and inventory.

---

### **Cost-Saving Tips for Selection:**
* **Choose Cloud-Based:** Avoids upfront costs for local servers and expensive IT maintenance.
* **Look for "Per-Vet" Pricing:** If you have a small clinical team but many support staff, per-vet pricing is significantly cheaper than per-user pricing.
* **Check Integrated Processing:** Many vendors offer lower software rates if you use their built-in payment processing services.


What veterinary PIMS software do small animal practices actually use?

Small animal veterinary practices primarily use a mix of legacy server-based software and modern cloud-based systems.

Here are the most commonly used PIMS (Practice Information Management Systems) in small animal medicine today:

### **Legacy / Server-Based Systems (Most Established)**
These hold a massive share of the market, particularly in older or larger practices, though many are transitioning to the cloud.
* **AVImark (Covetrus):** Historically the most widely used PIMS in North America. Highly customizable, though its interface is dated.
* **Cornerstone (IDEXX):** The standard for diagnostic-heavy practices using IDEXX hardware. Powerful, robust, but complex.
* **ImproMed (Covetrus):** Popular in established general practices requiring detailed inventory and reporting features.

### **Cloud-Based Systems (Fastest Growing)**
Preferred by newer practices, corporate groups, and clinics wanting remote access and modern user interfaces.
* **ezyVet (IDEXX):** A top choice for modern practices; highly feature-rich, automation-heavy, and integrates seamlessly with IDEXX diagnostics.
* **Covetrus Pulse (formerly eVetPractice):** One of the most popular cloud options for standard general practices due to its all-in-one ecosystem.
* **IDEXX Neo:** A streamlined, user-friendly cloud option designed for smaller, straightforward general practices.
* **Shepherd PIMS:** Rapidly growing in popularity for its emphasis on auto-charging through SOAP notes and ease of training for staff.
* **Digitail:** Popular with modern practices focusing heavily on client communication and mobile app integration.
* **DaySmart Vet:** A flexible, user-friendly option common among independent practices and mobile clinics.

### **Summary**
If you walk into a typical small animal clinic today, you will most likely see **AVImark**, **Cornerstone**, **ezyVet**, or **Covetrus Pulse**.


Best cloud-based veterinary practice management software

The "best" cloud-based veterinary practice management software depends on your clinic's size, budget, and specific needs. Here are the top-rated options currently available:

### 1. **ezyVet** (Best Overall / High Growth)
* **Best for:** Mid-to-large practices, specialty clinics, and multi-location hospitals.
* **Key Features:** Highly customizable, powerful automated workflows, robust reporting, and extensive third-party integrations (IDEXX, Zoetis, Heska).
* **Pros:** Advanced functionality and scalability.

### 2. **Covetrus Pulse** (Best All-In-One Ecosystem)
* **Best for:** Practices looking for an all-inclusive system with integrated pharmacy and supply ordering.
* **Key Features:** Unified dashboard for clinical notes, billing, inventory, client communication, and prescription management.
* **Pros:** User-friendly interface with deep inventory integration.

### 3. **IDEXX Neo** (Best for Small-to-Medium Clinics)
* **Best for:** Practice owners wanting a simple, easy-to-learn system—especially those already using IDEXX hardware.
* **Key Features:** Intuitive drag-and-drop scheduling, built-in payment processing, and native IDEXX lab integration.
* **Pros:** Short learning curve and straightforward pricing structure.

### 4. **Digitail** (Best Modern / Client Experience)
* **Best for:** Tech-forward practices focused on client engagement and AI efficiency.
* **Key Features:** Built-in AI assistant for SOAP notes, a top-rated client mobile app (for booking, chat, and records), and paperless forms.
* **Pros:** Streamlines client communication and reduces administrative typing.

### 5. **Shepherd Veterinary Software** (Best for Workflow & Billing)
* **Best for:** Relief vets, mobile practices, and small-to-medium clinics wanting fast charting.
* **Key Features:** Built around a SOAPs-first workflow; automatically captures fees as you document treatment so no charges are missed.
* **Pros:** Designed by a veterinarian, highly intuitive, and reduces missed revenue.

---

### **Quick Recommendation:**
* Choose **ezyVet** if you need maximum customization and multi-location management.
* Choose **IDEXX Neo** if you want low training time and heavy IDEXX lab integration.
* Choose **Digitail** if you want the best client-facing app and AI tools.


What is the best PIMS for a solo veterinary practitioner?

For a solo veterinary practitioner, the best Practice Information Management Software (PIMS) options are **cloud-based, low-maintenance, and streamlined for single users**.

Here are the top recommendations depending on your practice type:

1. **DaySmart Vet (formerly Vetter Software)** – *Best Overall for Solo & Mobile Vets*
   * **Why:** Exceptionally easy to use, highly affordable, and works seamlessly on tablets and phones. Ideal if you do house calls or need a simple, reliable system without a steep learning curve.

2. **Shepherd** – *Best for Fast Workflow & Charting*
   * **Why:** Designed by a veterinarian specifically to reduce administrative time. Its intuitive, SOAP-centric design minimizes clicking so you can complete records quickly without extra staff.

3. **IDEXX Neo** – *Best for Practices Using IDEXX Diagnostics*
   * **Why:** A straightforward, web-based system with built-in client communication tools and native, seamless integration with IDEXX lab equipment and diagnostics.

**Summary Recommendation:** Choose **DaySmart Vet** if you need maximum flexibility and low cost (especially for mobile/solo setups), or **Shepherd** if your main goal is spending as little time as possible on chart writing.


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

For an **emergency veterinary clinic**, your practice management software (PIMS) needs to support rapid triage, digital whiteboard/ICU tracking, complex estimates, and seamless diagnostic integrations.

Here are the top software recommendations tailored for emergency care:

### 1. **Top Recommendation for ER: Instinct EMR**
* **Best for:** Emergency and specialty practices.
* **Why it stands out:** Built specifically for high-volume, critical-care workflows. It combines practice management with integrated digital treatment sheets, real-time patient status tracking (whiteboards), built-in dose calculators, and automated patient safety checks.

### 2. **Best for Modern Cloud & Customization: Vetspire**
* **Best for:** Fast-paced emergency centers wanting an intuitive, cloud-native system.
* **Why it stands out:** Highly customizable workflows, automated charting, artificial intelligence features to speed up record-keeping, and native cloud access from any device.

### 3. **Best All-Rounder Cloud Option: Covetrus Pulse (formerly eVetPractice)**
* **Best for:** Clinics looking for a widely used, flexible cloud platform with extensive integrations.
* **Why it stands out:** Excellent third-party integrations (labs, imaging, payment processing), easy to train new staff on quickly, and strong online payment/estimate approval features.

### 4. **Best Ecosystem / High Volume: IDEXX Cornerstone (with Smart Flow)**
* **Best for:** Clinics heavily relying on the IDEXX diagnostic ecosystem.
* **Why it stands out:** Cornerstone is an industry-standard, heavy-duty PIMS. When paired with **IDEXX Smart Flow** (a digital ICU/whiteboard tool), it creates a powerful system for tracking inpatient emergency treatments and lab results.

---

### Key Decision Factors for Your Choice:
* **If you want a modern, dedicated ER platform:** Choose **Instinct**.
* **If you want deep lab integration & legacy stability:** Choose **Cornerstone + Smart Flow**.
* **If you want flexible, fast, cloud-based software:** Choose **Vetspire** or **Covetrus Pulse**.

*Recommendation: Schedule demos with **Instinct** and **Vetspire** first, as their digital treatment boards are ideal for the fast-paced nature of emergency triage and ICU care.*


Top rated veterinary clinic software for small animal practices

Here are the top-rated cloud-based practice management software (PIMS) options for small animal veterinary practices:

1. **ezyVet**
   * **Best For:** Feature-rich automation and integration.
   * **Highlights:** Highly customizable, automated client communications, seamless integration with major diagnostic labs (IDEXX, Zoetis, Heska), and powerful reporting tools.

2. **Covetrus Pulse (formerly eVetPractice)**
   * **Best For:** All-in-one ecosystem and inventory management.
   * **Highlights:** User-friendly interface, strong built-in prescription and inventory ordering, integrated payments, and robust client portal options.

3. **Shepherd Veterinary Software**
   * **Best For:** Workflow efficiency and ease of use.
   * **Highlights:** Designed by a veterinarian around the SOAP (subjective, objective, assessment, plan) process; automatically captures charges as you write medical notes to prevent missed billing.

4. **IDEXX Neo**
   * **Best For:** Small-to-medium practices wanting simplicity.
   * **Highlights:** Intuitively designed, quick learning curve, affordable, and natively integrates with IDEXX diagnostics and hardware.

5. **DaySmart Vet (formerly Vetter Software)**
   * **Best For:** Affordability and flexibility.
   * **Highlights:** Simple pricing structure, reliable basic features, excellent appointment scheduling, and strong mobile responsiveness.

**Recommendation:**
* Choose **ezyVet** if you want deep customization, high automation, and advanced reporting.
* Choose **Shepherd** or **IDEXX Neo** if you want an easy-to-learn, intuitive system that reduces training time for staff.


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

**ezyVet** is widely regarded as having the best overall diagnostic lab integrations. It offers robust, bi-directional (two-way) cloud integrations with all major lab vendors—including IDEXX, Antech, Zoetis (Abaxis), and Heska—allowing seamless ordering, automatic result posting directly to patient records, and automated charge capture.

*Note: If your practice exclusively uses IDEXX equipment and reference labs, **IDEXX Cornerstone** (on-premise) or **IDEXX Neo** (cloud) offer the tightest native integration specifically within the IDEXX ecosystem.*


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

Mobile veterinarians should use a **cloud-based Practice Information Management System (PIMS)** that offers mobile responsiveness, integrated payment processing, and offline/low-bandwidth functionality.

Here are the top software options tailored for mobile vets:

1. **DaySmart Vet (formerly Vetter Software)**
   * **Best for:** Dedicated mobile practices.
   * **Why:** Built specifically with mobile capabilities in mind. It works seamlessly on tablets/phones, handles route management, and processes payments on the go.

2. **Digitail**
   * **Best for:** Client communication and modern UI.
   * **Why:** Offers a native mobile app for both the vet and the pet owner. Features digital check-ins, easy SOAP notes on a tablet, and integrated mobile payments.

3. **Shepherd Veterinary Software**
   * **Best for:** Ease of use and fast charting.
   * **Why:** Designed by a vet around the SOAP workflow, making medical charting very fast. Includes auto-invoicing as you complete your notes.

4. **ezyVet**
   * **Best for:** Feature-rich, scalable practices.
   * **Why:** Powerful cloud-based system with robust mobile features, automated invoicing, lab integrations, and strong reporting.

5. **IDEXX Neo**
   * **Best for:** Simple, straightforward workflows.
   * **Why:** Very easy to learn, inexpensive, works on any browser, and integrates directly with IDEXX diagnostic tools and mobile payment processors.

**Key Features to Prioritize:**
* Mobile payment processing (e.g., via Square, Clover, or integrated processor).
* Cloud access via iPad or tablet.
* Automated client messaging (SMS/email) for appointment reminders and digital invoices.


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

The best Practice Management Information Systems (PIMS) for a mixed animal practice (equine + companion) need to seamlessly handle both in-clinic workflows and ambulatory field service.

Here are the top options currently available:

### 1. **ezyVet** (Top Overall)
* **Best for:** Modern, feature-rich, cloud-based practice management.
* **Why it fits mixed practices:** Highly customizable workflows for both small animal clinic operations and equine ambulatory work.
* **Key Features:** Native mobile app, offline charting for field work, split-billing (essential for equine syndicates/ownership groups), direct integration with GlobalVetLINK for Coggins/health certificates, and robust small-animal diagnostic/inventory integrations.

### 2. **Covetrus Pulse** (formerly eVetPractice)
* **Best for:** User-friendliness and seamless inventory/diagnostic integration.
* **Why it fits mixed practices:** A flexible, cloud-based system designed specifically with mixed-animal practices in mind.
* **Key Features:** Mobile-friendly interface for truck/field work, integrated payment processing, equine-specific invoicing/charting capabilities, and strong client communication tools for small animal owners.

### 3. **DaySmart Vet** (formerly Vetter Software)
* **Best for:** Value, simplicity, and flexibility.
* **Why it fits mixed practices:** Lightweight, cloud-based platform that transitions easily between the exam room and the field.
* **Key Features:** Solid equine charting (including dental charts), mobile accessibility, automated appointment reminders, and GlobalVetLINK integration without the high complexity or cost of enterprise software.

### 4. **HVMS** (Business Infusions)
* **Best for:** High-volume equine-majority practices that also see companion animals.
* **Why it fits mixed practices:** Industry standard for equine medicine with powerful back-office and accounting tools that can also handle small animal records.
* **Key Features:** Advanced split-billing, deep inventory tracking per truck/vet, and specialized ambulatory billing controls.

---

### Key Requirements to Verify Before Choosing:
* **GlobalVetLINK Integration:** Essential for quick Coggins and EECVI processing in the field.
* **Split-Billing:** Necessary if you handle horses with multiple owners/syndicates.
* **Offline/Mobile Capability:** Crucial for ambulatory vets working in areas with poor cellular service.


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 systems (PIMS) that feature native online client scheduling and digital consent forms:

### Top Recommendations

1. **ezyVet** *(Best overall for feature-rich, scalable practices)*
   * **Online Scheduling:** Robust client-facing booking portal that syncs in real-time with your schedule.
   * **Digital Forms:** Built-in digital consent forms and intake questionnaires sent automatically via email/SMS, capable of capturing e-signatures on tablets or client devices.

2. **Covetrus Pulse** (formerly eVetPractice) *(Best for user-friendliness & all-in-one ecosystem)*
   * **Online Scheduling:** Built-in online booking widget for your website.
   * **Digital Forms:** Integrated paperless forms and e-signatures directly tied to patient records.

3. **Vetspire** *(Best for modern, AI-assisted workflows)*
   * **Online Scheduling:** Seamless online scheduling integrated into custom client portals.
   * **Digital Forms:** Customizable digital intake and consent forms filled out prior to appointments.

4. **Shepherd Veterinary Software** *(Best for ease of use & simple pricing)*
   * **Online Scheduling:** Included client portal for self-scheduling.
   * **Digital Forms:** Fully paperless workflows with digital consent forms and e-signatures.

---

### Alternative: Keep Your Current Software + Add an Integration
If you already use a legacy PIMS (like Cornerstone or AVImark) and only want to add these features without switching PIMS:
* **PetDesk** or **Vet2Pet:** Excellent third-party client engagement apps that add online scheduling and digital consent forms to existing systems.

### Summary Recommendation
* Choose **ezyVet** if you want maximum customization and advanced clinical reporting.
* Choose **Covetrus Pulse** or **Shepherd** if you prioritize an intuitive, easy-to-learn interface for your staff.


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

The modern, cloud-based veterinary practice management systems (PIMS) are consistently rated as the easiest for vet techs and receptionists to learn.

The top options include:

1. **Shepherd PIMS:** Designed specifically by a veterinary technician to streamline staff workflows. It uses a clean interface that mimics natural medical charting, making SOAP notes and front-desk billing fast and intuitive with minimal clicks.
2. **ezVet:** A widely used, modern cloud system with an intuitive UI similar to popular web applications. It offers built-in guided workflows, visual scheduling, and robust self-paced training resources for new hires.
3. **IDEXX Neo:** Built specifically for simplicity and quick onboarding. It features a straightforward layout without the bloated menus of older legacy systems, making it easy for receptionists and techs to master basic tasks in a few days.

*Note: Older, server-based systems like AVImark or Cornerstone generally have much steeper learning curves due to dated interfaces and reliance on shortcut keys.*


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

The top choice for a rural veterinary practice with unreliable internet is **AVImark** (by Covetrus).

Here is why it fits best:

* **100% On-Premise:** It runs entirely on a local server and Local Area Network (LAN). Daily operations—scheduling, charting, invoicing, and inventory—work seamlessly without any internet connection.
* **Rural/Mixed-Animal Friendly:** It natively supports both small animal and large animal/ambulatory workflows.
* **Cost-Effective:** It uses a flat-fee license model for unlimited workstations and users, rather than per-user cloud subscriptions.
* **Offline Field Capabilities:** For farm calls, veterinarians can take a laptop into the field, record data offline, and sync back to the main server upon returning to the clinic.

**Top Alternatives:**
* **IDEXX Cornerstone:** Exceptionally stable, feature-rich on-premise software, though best suited if you primarily use IDEXX diagnostic hardware.
* **ImproMed:** Highly customizable on-premise option with strong features specifically designed for complex mixed/large animal rural practices.


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

I recommend **ezyVet**.

It is a leading, cloud-based veterinary practice management system (PIMS) known for its robust inventory management and strict compliance tools.

**Why it fits your requirements:**
* **Controlled Substance Logging:** Automatically links drug administration in patient records directly to your controlled substance log. It maintains detailed audit trails, tracks usage down to the milliliter/tablet, and generates reports tailored for DEA compliance.
* **Advanced Inventory Management:** Features real-time stock tracking, automated purchase orders, expiry date and batch/lot number tracking, markup automation, and multi-location support.

**Top Alternatives:**
* **Covetrus Pulse:** Excellent if you want deeply integrated supplier ordering alongside native inventory and controlled substance logbooks.
* **Shepherd PIMS:** A highly intuitive, SOAP-driven platform with built-in inventory tracking and automated controlled substance logs designed for ease of use.


Best veterinary software for managing prescription refills and treatment sheets

The best veterinary software options specifically tailored for managing treatment sheets (flowsheets) and prescription refills depend on your practice type:

### 1. **Instinct Science** *(Best for Emergency, Specialty, and High-Volume Hospitals)*
* **Treatment Sheets:** Industry-leading digital flowsheets designed for complex inpatient care, ICU monitoring, and automated safety checks for drug dosages.
* **Prescription Refills:** Advanced medication management, built-in dosing calculators, and seamless tracking of active orders and refills to prevent billing errors.

### 2. **ezyVet** *(Best All-In-One Cloud-Based PIMS)*
* **Treatment Sheets:** Robust electronic treatment boards that automatically sync treatment tasks directly to the patient's invoice as soon as they are marked complete.
* **Prescription Refills:** Streamlined prescription management with direct integration to major online pharmacies (e.g., Covetrus, VetSource) and automated client refill requests via a patient portal.

### 3. **Smart Flow** *(Best Add-On / Integratable Software)*
* **Treatment Sheets:** The gold standard standalone digital whiteboard/flowsheet system. It integrates with existing PIMS (like Cornerstone, AVImark, or IDEXX Neo) to turn paper treatment sheets into interactive touchscreens.
* **Prescription Refills:** Handles mapping of treatments to inventory, though refill workflows depend slightly on the primary PIMS it is linked to.

### 4. **Digitail** *(Best Modern, All-in-One for General Practices)*
* **Treatment Sheets:** Intuitive digital whiteboards and real-time treatment tracking easily accessible on tablets.
* **Prescription Refills:** Excellent client-facing mobile app allowing pet owners to request refills in one click, which staff can approve and process instantly.

---

### Recommendation Summary:
* Choose **Instinct** if you are an ER/Specialty clinic that needs heavy-duty treatment sheets and precise drug dosing.
* Choose **ezyVet** if you want a complete, modern cloud PIMS with built-in treatment sheets and automated pharmacy billing.
* Choose **Smart Flow** if you already like your current PIMS but just need to upgrade your inpatient treatment sheet workflow.


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

When upgrading from a legacy system to a modern cloud-based Veterinary Practice Information Management System (PIMS), consider these top options categorized by practice type and strengths:

### Top Cloud PIMS Options

*   **ezyVet (IDEXX)**
    *   **Best for:** Medium-to-large, multi-location, or specialty practices.
    *   **Key Strengths:** Highly customizable, feature-rich, strong automation, and deep integration with major diagnostic labs.
*   **Covetrus Pulse**
    *   **Best for:** Practices wanting a fully integrated supply chain and pharmacy ecosystem.
    *   **Key Strengths:** Combines PIMS, inventory, client communications, and prescription management into a single platform.
*   **IDEXX Neo**
    *   **Best for:** Small-to-medium general practices seeking simplicity.
    *   **Key Strengths:** Intuitive user interface, quick staff onboarding, competitive pricing, and built-in IDEXX lab integration.
*   **Shepherd Veterinary Software**
    *   **Best for:** Practices prioritizing fast SOAP completion and workflow efficiency.
    *   **Key Strengths:** Designed by a veterinarian; auto-populates charges based on medical notes to reduce missed billing.
*   **Digitail**
    *   **Best for:** Modern practices focused on client engagement and telehealth.
    *   **Key Strengths:** Features a highly-rated native pet owner app for scheduling, chat, and medical record access.
*   **Instinct EMR**
    *   **Best for:** Emergency, specialty, and high-volume hospitals.
    *   **Key Strengths:** Advanced digital treatment sheets, real-time patient monitoring boards, and robust safety checks.

---

### Key Factors to Evaluate During Demos

1. **Data Migration:** Ask specifically about their track record migrating data out of your *exact* legacy software (e.g., Avimark, Cornerstone, IntraVet).
2. **Integrations:** Verify direct two-way integration with your preferred reference labs (IDEXX, Antech, Zoetis), payment processors, and imaging hardware.
3. **Pricing Structure:** Determine if pricing is based on per-user licenses, per-vet, or per-location.
4. **Offline Capability & Security:** Confirm hardware requirements, data backup protocols, and uptime guarantees.


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

While the "best" software depends on your practice type and size, the top-rated veterinary practice management systems (PIMS) renowned specifically for patient charting and electronic medical records (EMR) include:

1. **ezyVet (Best Overall for Advanced EMR):** A powerful, cloud-based system with deep automation, highly customizable clinical templates, automated billing linked directly to records, and seamless integration with diagnostic labs.
2. **Instinct EMR (Best for Emergency, Specialty, & ICU):** Built specifically around digital treatment sheets and patient charting. It excels at complex medical monitoring, flowcharts, and safety features like automated dose calculations.
3. **Covetrus Pulse / eVetPractice (Best for General Practice Flexibility):** Highly customizable, cloud-based charting with flexible SOAP templates, macro shortcuts, and an intuitive layout that speeds up daily documentation.
4. **Shepherd (Best for Fast, Simple SOAP Charting):** Designed by a veterinarian to minimize clicks. It auto-populates charges into the invoice directly from the SOAP medical notes, ensuring thorough charting without missed billing.

**Recommendation:**
* Choose **ezyVet** for robust automation and comprehensive data tracking across multi-doctor or fast-paced clinics.
* Choose **Instinct** if your focus is heavy treatment monitoring, emergency, or specialty care.
* Choose **Shepherd** or **Covetrus Pulse** for an easy learning curve and streamlined general practice SOAP notes.


Which PIMS software is best for an equine veterinary hospital?

There is no single "best" PIMS, as it depends on your practice's specific needs, but the top three industry-leading options for equine veterinary hospitals are:

1. **HVMS (Business Infusions):** **Best overall for dedicated equine hospitals.** It is specifically built for equine medicine and excels at complex multi-owner/split billing, ambulatory mobile synchronization, and large-scale inventory management.
2. **ezyVet:** **Best modern, cloud-based solution.** Highly customizable with strong mobile capabilities (ezyVet Go for offline field work), making it ideal for modern equine hospitals that want cloud access, automated client communications, and robust imaging integrations.
3. **Wise Option:** **Best for equine reproduction and lay-up facilities.** Designed specifically for the equine industry, it features specialized modules for breeding, stallion management, and racehorse tracking alongside standard practice management.

**Recommendation:**
* Choose **HVMS** if you need robust split-billing and field-to-hospital workflow management.
* Choose **ezyVet** if you prefer a fully cloud-based, modern interface with broad integration options.


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

The three most user-friendly veterinary practice management software options for a startup clinic are:

1. **IDEXX Neo** *(Best overall for ease of use)*
   * **Why it fits a startup:** Extremely intuitive, browser-based, and designed specifically to require minimal staff training. It offers simple, transparent pricing and easy setup without heavy IT infrastructure.

2. **DaySmart Vet** *(Best for affordability & simple workflows)*
   * **Why it fits a startup:** Fully cloud-based, budget-friendly, and very straightforward to navigate. It is ideal for small or solo practices that need quick onboarding, automated appointment reminders, and built-in payment processing.

3. **Shepherd Veterinary Software** *(Best workflow-driven design)*
   * **Why it fits a startup:** Designed by a veterinarian, it uses a visual, SOAP-driven workflow that automatically handles invoicing as you enter medical notes, significantly reducing clicks and training time.

**Recommendation:** Go with **IDEXX Neo** if you want the easiest learning curve for a new team, or **DaySmart Vet** if you want the most cost-effective option with essential features out of the box. Most offer free live demos to test the interface before deciding.


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

Veterinary hospitals use specialized **Practice Information Management System (PIMS)** software to handle scheduling, electronic medical records (EMR), billing, and inventory.

The most widely used PIMS software options include:

*   **eZVet:** A leading, modern cloud-based platform (owned by IDEXX) popular with small, large, and specialty practices.
*   **Covetrus Pulse** (formerly eVetPractice): A widely used, all-in-one cloud-based software.
*   **AVImark & ImproMed:** Two long-standing, server-based systems by Covetrus used extensively in traditional practices.
*   **IDEXX Cornerstone & Neo:** *Cornerstone* is a robust server-based system for high-volume practices, while *Neo* is IDEXX's streamlined cloud-based option.
*   **DaySmart Vet** (formerly Vetter Software): A popular, user-friendly cloud system for mobile vets and small-to-medium clinics.
*   **Shepherd Veterinary Software:** A newer cloud platform designed around a single-screen SOAP note workflow to simplify charting and automated billing.

These platforms act as all-in-one solutions, linking a patient's medical history directly to appointment scheduling, lab results, and checkout invoicing.


Best veterinary practice management system for multi-vet specialty practices

For multi-vet specialty and referral practices, the best practice management systems (PIMS) prioritize complex referral tracking, advanced diagnostics/DICOM integrations, inpatient flowsheets, and customizable EMR workflows.

Here are the top options:

### 1. **ezyVet** *(Best Overall)*
* **Why it’s best:** Widely considered the industry standard for modern specialty and referral hospitals.
* **Key Features:** Advanced referral management tools, seamless diagnostic and PACS/DICOM integrations, automated client communication, and strong multi-department scheduling.
* **Deployment:** Cloud-based.

### 2. **Instinct EMR** *(Best for Emergency & Specialty Inpatient Care)*
* **Why it’s best:** Purpose-built specifically for veterinary specialty, emergency, and university teaching hospitals.
* **Key Features:** Best-in-class digital treatment sheets, built-in safety checks/planners for complex drug dosing, and real-time patient status tracking across multiple specialty departments. Can run standalone or integrate with other PIMS.
* **Deployment:** Cloud-based.

### 3. **Vetspire** *(Best for Customization & Large Enterprise)*
* **Why it’s best:** Highly adaptable micro-services architecture designed for complex, multi-vet, or multi-location practices.
* **Key Features:** AI-assisted charting, deeply customizable templates for different specialties (e.g., cardiology, oncology, surgery), and central management for high-volume practices.
* **Deployment:** Cloud-based.

### 4. **IDEXX Cornerstone** *(Best Legacy Enterprise Option)*
* **Why it’s best:** A long-standing enterprise standard for large specialty hospitals needing deep local data control and robust reporting.
* **Key Features:** Extensive customization, powerful billing/reporting engines, and deep integration with IDEXX diagnostic ecosystems.
* **Deployment:** On-premise / Hybrid.

---

### **Recommendation Summary:**
* Go with **ezyVet** for a complete, cloud-based, all-in-one specialty platform with strong referral features.
* Pair **ezyVet** (or your existing PIMS) with **Instinct EMR** if your specialty practice handles heavy inpatient loads, intensive care, or complex treatment protocols.


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

Here are the top modern, cloud-native Practice Information Management Systems (PIMS) known for reliability, speed, and eliminating server freezing:

1. **ezyVet**
   * **Best for:** Feature-rich customization and growing or multi-location practices.
   * **Highlights:** Deep integrations with major labs/hardware, robust automation, and advanced reporting.

2. **Shepherd**
   * **Best for:** Speed and ease of use.
   * **Highlights:** Designed by a veterinarian specifically to eliminate click fatigue. The workflow centers directly around the SOAP process so records are completed during the exam.

3. **Digitail**
   * **Best for:** Tech-forward practices and client engagement.
   * **Highlights:** Includes AI-assisted charting/summaries, a top-rated patient app, online booking, and built-in chat.

4. **IDEXX Neo**
   * **Best for:** Clinics heavily relying on IDEXX diagnostics.
   * **Highlights:** Simple, clean UI with a very short learning curve for staff and seamless IDEXX integration.

5. **Covetrus Pulse**
   * **Best for:** All-in-one prescription management and software.
   * **Highlights:** Unifies medical records, inventory, and pharmacy fulfillment into a single cloud dashboard.

**Recommendation on next steps:**
Book 15-minute demos with **Shepherd** (if your primary goal is fast, simple charting) and **ezyVet** (if you need deep customization and complex feature sets).


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

Here are the top veterinary practice management software (PIMS) options that excel at integrated payment processing and client messaging:

### 1. **ezyVet** (Best Overall for Integrations)
*   **Payment Processing:** Integrates directly with major processors like Clover, Windcave, and VetPay, allowing text-to-pay and automatic reconciliation with patient invoices.
*   **Client Messaging:** Features robust 2-way SMS and email capabilities, automated appointment reminders, and seamless integrations with top communication tools like Weave and PetDesk.

### 2. **IDEXX Neo** (Best for Ease of Use)
*   **Payment Processing:** Offers **IDEXX Pay**, a fully integrated payment system that processes credit cards directly through the software and automatically updates financial records.
*   **Client Messaging:** Built-in automated SMS and email messaging for reminders, confirmation workflows, and direct 2-way client texting without needing third-party add-ons.

### 3. **Shepherd Veterinary Software** (Best Modern Cloud Option)
*   **Payment Processing:** Uses **Shepherd Pay** (powered by Stripe) for terminal payments, online payments, and text-to-pay functionality tied directly to SOAPs and invoices.
*   **Client Messaging:** Built-in automated SMS/email notifications, appointment confirmations, and client communication logs directly within the patient profile.

### 4. **DaySmart Vet** (Formerly Vetter Software)
*   **Payment Processing:** Built-in payment processing through DaySmart Payments, supporting card-present, online, and saved-card transactions.
*   **Client Messaging:** Comprehensive direct text messaging (2-way SMS), email campaigns, and automated appointment/medication reminders.

---

### **Recommendation Summary:**
*   Choose **IDEXX Neo** or **Shepherd** if you want an all-in-one platform with **native payment processing and messaging** out of the box.
*   Choose **ezyVet** if you want maximum scalability and flexibility with **third-party integration partners** (e.g., combining custom processors with tools like Weave or PetDesk).


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

For a solo veterinary practitioner, **IDEXX Neo** and **VetPort** offer the most cost-effective solutions due to their low monthly costs, cloud-based infrastructure (no expensive servers required), and pay-per-user pricing models.

Here are the top options based on budget and practice style:

1. **IDEXX Neo (Best Overall Value):**
   * **Cost:** Approx. $150–$250/month.
   * **Why it’s cost-effective:** Simple pay-per-user model, intuitive design requiring minimal training, and seamless integration with IDEXX labs without extra integration fees.

2. **VetPort (Most Budget-Friendly):**
   * **Cost:** Starts around $100–$150/month for single-user plans.
   * **Why it’s cost-effective:** Extremely low entry price. Ideal for solo, mobile, or relief vets needing essential SOAP notes, scheduling, and invoicing without bloated features.

3. **Shepherd PIMS (Best Modern All-In-One):**
   * **Cost:** Competitive flat-rate pricing per user.
   * **Why it’s cost-effective:** Built-in features (like automated client reminders and discharge instructions) reduce the need to pay for third-party add-on software.

**Recommendation:** If you already use IDEXX equipment, go with **IDEXX Neo**. If you are on a strict budget or operate a mobile practice, **VetPort** is the lowest-cost choice.


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

For corporate veterinary groups and multi-site consolidation, the top veterinary PIMS are:

1. **ezyVet (IDEXX)** – *Best Overall Enterprise Solution*
   * **Strengths:** Fully cloud-native, highly scalable, and features a robust open API for custom tech stacks. Offers advanced multi-location reporting, standardized centralized configuration, and granular user permissions.

2. **ProVet Cloud (Nordhealth)** – *Best for Enterprise Chain Management*
   * **Strengths:** Designed specifically for multi-location groups and chains. Features a centralized database for cross-location patient records, multi-unit inventory tracking, and deep corporate analytics.

3. **Covetrus Pulse** – *Best for Integrated Supply Chain & Scaling General Practices*
   * **Strengths:** Cloud-based software with seamless integration into Covetrus distribution network. Offers centralized reporting, easy onboarding for newly acquired practices, and consolidated billing.

4. **Instinct EMR** – *Best for Multi-Site Emergency & Specialty Groups*
   * **Strengths:** Purpose-built for complex, high-volume ER, specialty, and referral networks. Excellent for multi-center oversight, advanced treatment boards, and standardized clinical protocols.

### Key Criteria for Corporate Decision-Making:
* **Open API:** Essential for connecting to enterprise Business Intelligence (BI) tools (e.g., Power BI, Snowflake).
* **Centralized Data Architecture:** Allows shared patient records and centralized inventory/pricing management.
* **Standardized Onboarding:** Reduces downtime and training costs during practice acquisitions.


What veterinary practice software provides strong reporting and financial analytics?

Several top veterinary practice management software (PIMS) options excel in reporting and financial analytics:

1. **ezyVet (Cloud-based)**
   * **Strengths:** Widely considered the best for advanced financial reporting and business intelligence.
   * **Features:** Robust real-time KPI dashboards, detailed revenue tracking, automated billing audits, multi-location financial aggregation, and direct integration with accounting tools like Xero and QuickBooks.

2. **IDEXX Cornerstone (On-Premise)**
   * **Strengths:** Highly trusted by large practices and hospitals for deep, granular data analysis.
   * **Features:** Extensive standard and custom reporting tools, comprehensive audit trails, end-of-day reconciliation features, and in-depth financial health tracking.

3. **Covetrus Pulse (Cloud-based)**
   * **Strengths:** Strong built-in financial dashboards and performance tracking.
   * **Features:** Tracks provider productivity, inventory valuation, category breakdown revenue, and offer custom reporting filters for multi-location practice management.

4. **Vetspire (Cloud-based)**
   * **Strengths:** Modern, data-driven platform built with custom analytics in mind.
   * **Features:** Flexible, real-time data visualization, customizable reporting widgets, automated report scheduling, and deep multi-site operational metrics.

**Recommendation:** For modern cloud flexibility with industry-leading financial reporting, **ezyVet** is the top recommendation. For large, complex practices needing deep legacy audit trails, **IDEXX Cornerstone** remains a dominant choice.


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

For a feline-only clinic seeking **lightweight, cloud-based** Practice Management Software (PIMS), here are the top recommendations based on ease of use, customizable templates, and low administrative overhead:

### 1. **Digitail** (Best Overall Modern Experience)
* **Why it fits:** Extremely lightweight, browser-based, and highly customizable. It includes built-in client messaging and a mobile app (great for anxious cat owners who prefer digital updates/check-ins). You can easily hide non-feline features and tailor custom feline SOAP templates.

### 2. **IDEXX Neo** (Best for Pure Simplicity)
* **Why it fits:** One of the simplest, most straightforward cloud PIMS on the market. It has a very low learning curve, minimal clutter, and handles core scheduling, charting, and billing without unnecessary complexity.

### 3. **Shepherd Veterinary Software** (Best for Intuitive Charting)
* **Why it fits:** Created by a veterinarian, Shepherd is designed around automated SOAP workflows. As you complete medical records, it automatically builds the invoice in the background, keeping admin work lightweight and fast.

### 4. **DaySmart Vet** (Best for All-in-One Essentials)
* **Why it fits:** Formerly known as Vetlink/Rapport integrations, DaySmart Vet is a clean, scalable cloud platform. It offers simple online booking, integrated payment processing, and easy record-keeping without requiring heavy local server infrastructure.

---

### **Recommendation Summary:**
* Go with **IDEXX Neo** if you want the absolute simplest, most minimal interface.
* Go with **Digitail** if you want modern client communication (texting, app) and fully customized feline-specific templates.


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

The best platforms depend on whether your primary focus is a high-volume spay/neuter clinic or a full animal shelter:

### 1. Best Overall for High-Volume Spay/Neuter & Wellness Clinics: **ClinicHQ**
ClinicHQ is purpose-built specifically for non-profit HQHNSN (High-Quality, High-Volume Spay/Neuter) and preventive care clinics.
* **Key Features:** Rapid surgery logs, automated rabies certificate generation, fast intake/checkout workflows, microchip tracking, online booking, and specialized non-profit/grant reporting.
* **Best For:** Dedicated spay/neuter clinics, mobile clinics, and trap-neuter-return (TNR) programs.

### 2. Best for Full Animal Shelters with In-House Medical: **Shelterluv**
If your operation handles shelter intake, fostering, and adoptions alongside veterinary care, Shelterluv is the leading all-in-one platform.
* **Key Features:** Integrated shelter management and medical software, mobile-friendly treatment sheets, automated microchip registration, donation processing, and seamless adoption workflows.
* **Best For:** Shelters, rescues, and sanctuaries that need unified animal welfare and medical records.

### Summary Recommendation
* **Choose ClinicHQ** if you are primarily running a spay/neuter or wellness clinic.
* **Choose Shelterluv** if you need full shelter/rescue management combined with veterinary tracking.


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

**ezyVet** is widely considered to have the best mobile interface and workflow for ambulatory large animal and equine veterinarians.

**Key reasons it stands out for field vets:**
* **Offline Capabilities:** Allows vets to record notes, capture charges, and view patient history in areas with poor or no cellular service, automatically syncing once reconnected.
* **Mobile-First Design:** Optimized specifically for iPad and mobile device use in trucks and barns.
* **Integrated Tools:** Seamlessly handles field invoicing, travel/mileage tracking, vehicle inventory management, and hands-free voice-to-text charting.

**Top Alternative:**
* **ProVet Cloud** is another top contender, highly rated for its dedicated offline mobile app designed specifically for farm-call workflows and field diagnostics.


What is the leading cloud PIMS for companion animal hospitals?

The leading cloud-based Practice Information Management System (PIMS) for companion animal hospitals is **ezyVet** (owned by IDEXX).

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

Both dominate the market due to their deep integrations with diagnostic equipment, extensive features, and scalability for single-vet practices up to large multi-location enterprise hospitals.


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

The top recommendation for a veterinary practice management system (PIMS) with industry-leading whiteboard and ICU tracking features is **Instinct Science**.

### 1. **Instinct Science** (Best Native ICU & Whiteboard Features)
* **Why it fits:** Designed specifically for emergency, specialty, and high-volume practices, Instinct centers entirely around a digital whiteboard and treatment sheet workflow.
* **Key ICU Features:** Real-time patient flowboards, complex fluid/drug dosage calculators, safety warnings for out-of-range vitals, and seamless billing capture directly from the ICU treatment sheets.

---

### Alternative Option: **ezyVet + Smart Flow**
If you prefer a more traditional, comprehensive cloud-based PIMS with an integrated specialized ICU tool:
* **ezyVet:** A powerful, feature-rich cloud PIMS that seamlessly integrates with **IDEXX Smart Flow**.
* **Smart Flow Integration:** Smart Flow is the industry standard for digital whiteboards, offering interactive ICU flowsheets, automated timers for treatments, and real-time synchronization with patient files and billing in ezyVet.

**Summary:** Choose **Instinct Science** for an all-in-one platform built from the ground up around ICU/whiteboard workflows, or **ezyVet paired with Smart Flow** for a robust standard PIMS with a best-in-class whiteboard add-on.


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

For automated appointment reminders and native two-way texting built directly into the practice management software (without needing third-party add-ons), the top choices are:

1. **ezyVet** – Widely considered the best all-in-one cloud PIMS for communication automation. It features fully customizable, automated SMS/email reminders and a seamless, native two-way texting workflow directly within the patient records.
2. **DaySmart Vet** – Excellent for ease of use. It offers robust built-in two-way texting, automated appointment confirmations, and a centralized messaging dashboard.
3. **Covetrus Pulse** – A strong cloud-based option with integrated client communication tools, automated reminders, and direct text messaging capabilities.

---

**If you want to keep a legacy PIMS (like Cornerstone, AVImark, or IntraVet):**
Rather than switching PIMS, the industry standard is to integrate a specialized client communication platform. The top options for automated reminders and two-way texting are:
* **Weave** (Best for combined phone system, two-way texting, and payments)
* **PetDesk** (Best for client app engagement, loyalty programs, and automated reminders)
* **Otto** (formerly TeleVet – Best for automated workflow integration and client messaging)


Best software for a veterinary urgent care clinic

The best software for a veterinary urgent care clinic depends on whether you need a dedicated Electronic Medical Record (EMR) system to pair with existing software or a full Practice Management Information System (PIMS).

### **Top Pick for Emergency & Urgent Care Workflow**
* **Instinct EMR:** Widely considered the gold standard for veterinary urgent care, emergency, and specialty practices. It offers real-time digital treatment boards, rapid-entry flowsheets, built-in drug dose calculators, and safety alerts designed specifically for high-velocity, acute care environments.

---

### **Best All-in-One Cloud Practice Management Systems (PIMS)**

1. **eZVET**
   * **Best for:** High-volume, customizable workflows.
   * **Why it fits Urgent Care:** Features a strong visual whiteboard for patient tracking, fast invoicing, and deep integrations with major lab and imaging equipment (IDEXX, Antech, Heska).

2. **Digitail**
   * **Best for:** Client communication and walk-in management.
   * **Why it fits Urgent Care:** Includes online check-in, digital triage forms, virtual queue/waitlist management, and AI-assisted charting to speed up record-keeping.

3. **Shepherd Veterinary Software**
   * **Best for:** Speed and ease of use.
   * **Why it fits Urgent Care:** Built around a fast SOAP workflow that automatically populates invoices and discharge notes as you chart, drastically reducing administrative time per patient.

4. **Covetrus Pulse (formerly eVetPractice)**
   * **Best for:** Scalability and ecosystem integration.
   * **Why it fits Urgent Care:** Highly reliable cloud platform with strong inventory controls, integrated payment processing, and robust multi-location support.

---

### **Summary Recommendation**
* Choose **Instinct EMR** if you want the absolute best clinical treatment board and workflow engine for acute care (can integrate with traditional PIMS).
* Choose **eZVET** or **Digitail** if you want an all-in-one cloud PIMS that handles check-ins, triage, billing, and practice management out of a single system.


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

Here are the top veterinary PIMS recommendations based on inventory capabilities for pharmaceuticals and surgical supplies:

### 1. **ezyVet** *(Best Overall for Advanced Inventory)*
* **Why it fits:** It offers the most robust automated inventory system among cloud-based PIMS.
* **Key Features:**
  * **Surgical Bundles:** Create procedure templates that automatically deduct exact surgical supplies (sutures, drapes, drugs) from inventory upon billing.
  * **Batch & Expiry Tracking:** Critical for tracking drug lot numbers and expiration dates for compliance.
  * **Automated Ordering:** Integrates directly with major vendors (Covetrus, MWI, Zoetis) to auto-generate purchase orders based on reorder points.

### 2. **Covetrus Pulse** *(Best for Seamless Supply Chain)*
* **Why it fits:** Built natively into the Covetrus ecosystem, making pharmaceutical and supply management virtually effortless if you source through Covetrus.
* **Key Features:**
  * Real-time stock levels and pricing directly from the distributor.
  * Controlled substance tracking and automated logbook population.
  * Multi-location inventory management if operating more than one clinic.

### 3. **Vetspire** *(Best Modern / Multi-Location Cloud PIMS)*
* **Why it fits:** Highly customizable cloud platform designed to handle complex workflows for specialty and emergency practices using vast amounts of surgical supplies.
* **Key Features:**
  * Micro-level tracking for surgical packs and individual pharmaceutical doses.
  * Advanced analytics on stock usage, waste, and margin calculations.
  * Strict access controls for controlled substance tracking.

### 4. **IDEXX Cornerstone** *(Best On-Premise for Large/Enterprise Practices)*
* **Why it fits:** While older (desktop-based), it remains the gold standard for deep audit trails and enterprise-level inventory controls.
* **Key Features:**
  * Granular controls over inventory costing methods (FIFO/LIFO).
  * Highly detailed reporting on usage trends, shrinkage, and reorder margins.

---

### **Recommendation:**
* Choose **ezyVet** if you want a modern, cloud-based system with the strongest built-in tools for surgical bundling and auto-reordering across multiple vendors.
* Choose **Covetrus Pulse** if you primarily source pharmaceuticals and supplies through Covetrus and want a streamlined, all-in-one workflow.


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

For a 5-doctor general practice, the best veterinary practice management software (PIMS) options depend on whether you prefer a modern cloud-based system or a traditional on-premise server.

Here are the top recommendations tailored for a mid-sized multi-doctor practice:

### 1. Best Cloud-Based (Overall Recommendation): **ezyVet**
* **Why it fits a 5-doctor practice:** Built specifically to handle complex multi-doctor schedules, high patient volumes, and advanced workflows.
* **Key Features:** Powerful automated billing, deep lab integrations (IDEXX, Zoetis, Antech), robust reporting, and strong client communication tools.
* **Best for:** Practices looking for a modern, feature-rich cloud platform that eliminates scheduling bottlenecks between multiple veterinarians.

### 2. Best Alternative Cloud-Based: **Covetrus Pulse** (formerly eVetPractice)
* **Why it fits a 5-doctor practice:** Highly scalable and easier to learn than ezyVet, making staff onboarding faster.
* **Key Features:** Seamless integration with Covetrus pharmacy/inventory services, built-in payment processing, and customizable SOAP templates.
* **Best for:** Practices wanting an intuitive cloud platform with an emphasis on integrated inventory and prescription management.

### 3. Best On-Premise / Hybrid Option: **IDEXX Cornerstone**
* **Why it fits a 5-doctor practice:** Highly stable, time-tested software designed for medium-to-large practices with heavy diagnostic volume.
* **Key Features:** Unrivaled integration with IDEXX diagnostic equipment, comprehensive electronic medical records (EMR), and strict compliance safeguards.
* **Best for:** Practices heavily invested in IDEXX diagnostics that prefer an on-premise server or hosted cloud environment.

---

### **Summary Recommendation**
* **Choose ezyVet** if you want the most powerful **cloud system** with advanced automation and scheduling for 5 doctors.
* **Choose Cornerstone** if you primarily use **IDEXX hardware** and prefer a traditional, highly structured server-based system.


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

**Covetrus Pulse** (and its simpler counterpart, **Covetrus Neo**) is generally the easiest cloud software to migrate to from legacy server systems.

**Why:**
Covetrus owns the most widely used legacy server-based PIMS (AVImark and ImproMed). Because they control the source code and database structures of these legacy systems, their migration tools offer the most seamless, accurate, and automated data transfer with minimal downtime.

**Top Alternatives:**
* **ezyVet:** Best for practices looking for a feature-rich, enterprise-level cloud PIMS. They have a dedicated, highly experienced data migration team capable of converting data from almost any legacy system, though the overall onboarding curve is steeper.
* **Digitail:** Highly rated for user-friendly onboarding and proactive, step-by-step data migration support for independent practices.


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

The top veterinary practice management systems (PIMS) with native or seamlessly integrated digital imaging and DICOM/PACS support depend on your deployment preference (Cloud vs. On-Premise):

### 1. **Best Overall Cloud-Based: ezyVet**
* **Why it’s the best:** Offers deep, two-way integration with major DICOM PACS vendors (e.g., Asteris Keystone, IDEXX Web PACS, Sound, Fujifilm) and diagnostic labs.
* **Key Imaging Features:** Radiographs, ultrasound, and CT images are linked directly to patient records automatically. You can view high-resolution DICOM files through integrated web viewers without leaving the workflow.

### 2. **Best for IDEXX Ecosystem: IDEXX Cornerstone (On-Premise) / IDEXX Neo (Cloud)**
* **Why it’s the best:** If your clinic primarily uses IDEXX hardware and imaging systems, Cornerstone offers the most seamless, native DICOM integration available.
* **Key Imaging Features:** Direct sync with IDEXX Smart PACS and Web PACS. Captures DICOM metadata natively, auto-populates charges, and links images straight to the patient file.

### 3. **Best for Specialty & Emergency Hospitals: Instinct EMR**
* **Why it’s the best:** Designed specifically for high-volume, complex practices with heavy diagnostic imaging needs.
* **Key Imaging Features:** Robust DICOM/PACS integration (especially with Asteris), allowing fast viewing of advanced imaging (MRI, CT, digital X-ray) directly within treatment sheets and medical notes.

---

### **Recommendation Summary:**
* Go with **ezyVet** for a modern, cloud-first PIMS that handles multi-vendor DICOM/PACS setups best.
* Go with **Cornerstone** or **Neo** if you are fully committed to IDEXX diagnostic hardware.


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

High-volume veterinary clinics rely on modern Practice Management Software (PIMS) combined with automated communication and dictation tools to maintain efficiency.

Here are the primary software solutions used:

### Top Veterinary Practice Management Software (PIMS)
*   **ezyVet:** A cloud-based PIMS preferred by high-volume and emergency practices for its heavy automation, automated billing triggers, and seamless integration with diagnostic labs.
*   **Vetspire:** An AI-driven, cloud-based PIMS designed for enterprise and high-volume clinics. It features intuitive charting, auto-populating templates, and fast workflow navigation.
*   **Covetrus Pulse (formerly eVetPractice):** A flexible, cloud-based platform that unifies scheduling, inventory, diagnostics, and client communication into a single interface.
*   **IDEXX Cornerstone / Neo:** Widely used industry standards. Cornerstone offers deep customization and automated lab data flow, while Neo provides a streamlined, cloud-based alternative for fast processing.
*   **AVImark:** A legacy on-premise software favored by fast-paced traditional clinics because experienced staff can navigate it rapidly via keyboard shortcuts.

### Efficiency Boosters & Add-Ons
*   **Automated Client Communication (Otto/Vet2Pet, PetDesk, Weave):** Automates appointment reminders, digital check-ins, two-way texting, and online payments to keep the front desk clear.
*   **AI Clinical Notes & Dictation (Talkatoo, ScribbleVet):** Uses speech-to-text and AI to auto-generate SOAP notes, saving veterinarians hours of manual charting each day.
*   **Inventory & Flow Management (Flowbringer, VetRadar):** Electronic treatment sheets and whiteboard systems that track patient status, drug administration, and billing charges in real time.


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

**ezVet** (by Covetrus) is one of the top-recommended veterinary practice management systems for this exact workflow.

It handles these three core areas seamlessly through an integrated, cloud-based pipeline:

* **Estimates:** Easily built using preset templates. Once approved by the client, estimates convert directly into active treatment plans and billing items with a single click.
* **SOAP Notes:** Customizable templates allow quick clinical entry. Diagnoses, treatments, and decline/approval of estimate items directly link into the patient's medical history.
* **Billing:** Invoicing happens automatically in the background as treatments are marked complete in the SOAP notes or treatment sheet, preventing missed charges and simplifying checkout.

**Alternative option:** **IDEXX Neo** is a great, user-friendly alternative if you want a lighter, more intuitive interface for small-to-medium practices.


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

**AVImark** (by Covetrus) is historically the most widely used server-based practice management software among independent animal hospitals.

For practices looking for modern, cloud-based software, **ezyVet** (by IDEXX) and **Covetrus Pulse** (formerly eVetPractice) are currently the most popular choices.


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

For a new veterinary practice, a **cloud-based** Practice Information Management System (PIMS) is best because it requires no expensive hardware servers, offers predictable monthly pricing, and allows remote access.

Here are the top recommendations based on your needs:

1. **IDEXX Neo** (Best for Simplicity & Value)
   * **Why:** Extremely user-friendly, quick to set up, and offers flexible month-to-month pricing with no long-term contracts.
   * **Best for:** Small or solo practices looking for easy billing and seamless integration with IDEXX lab equipment.

2. **Covetrus Pulse** (formerly eVetPractice) (Best Overall All-in-One)
   * **Why:** Highly customizable, feature-rich, and handles complex billing, electronic health records (EHR), inventory, and client communication in one platform.
   * **Best for:** Practices wanting a scalable, comprehensive solution with strong support.

3. **Shepherd Veterinary Software** (Best for Workflow & Preventing Missed Charges)
   * **Why:** Built around a streamlined SOAP workflow that automatically populates billing items into the invoice as you write your medical notes, reducing missed charges.
   * **Best for:** Vets who want to minimize time spent on charting and administrative tasks.

### Quick Recommendation:
* Go with **IDEXX Neo** if you want low upfront costs and basic, easy-to-use software.
* Go with **Covetrus Pulse** if you want a robust, fully featured platform designed to grow with your practice.


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

For a **2-doctor clinic**, the strongest all-around choice is **Shepherd** if you want a modern cloud system with strong automation and quick staff adoption.[3][4] If your clinic is especially focused on **AI-assisted documentation and clinical workflow**, **Bittsi** is the better fit; if you want the **lowest-friction onboarding**, Shepherd is the clearer pick.[3]

A few practical takeaways for a 2-doctor practice:

- **Shepherd** is described as the best overall option for most independent and mid-size clinics because it combines workflow automation with flat, unlimited-user pricing.[4]
- For an **independent GP clinic with 1–4 doctors**, one comparison recommends **Shepherd or Bittsi**, specifically noting that the choice depends on whether you value *adoption speed* or *AI depth* more.[3]
- If your clinic uses a more traditional, enterprise-style setup or relies heavily on IDEXX diagnostics, **Cornerstone** is still positioned as a fit for **medium to large multi-doctor clinics**, not usually the first pick for a small 2-doctor practice.[2][4]

If you want the shortest recommendation: **pick Shepherd for most 2-doctor clinics**; choose **Bittsi** if AI documentation is the top priority.[3][4]


Best veterinary practice management software for a small animal hospital

For a **small animal hospital**, there is no single universally best veterinary practice management software; the best choice depends on whether you prioritize **automation**, **budget**, or a broader ecosystem. For most independent small-to-mid sized clinics, **Shepherd** is presented as the best overall option, while **Hippo Manager** is the value pick for budget-conscious small clinics, and **Covetrus Pulse** is highlighted as a good fit for general small-animal practices.[1][3]

A practical shortlist would be:

- **Shepherd** — best overall if you want strong workflow automation, cloud-native operation, and unlimited-user flat pricing.[1]
- **Hippo Manager** — best if price sensitivity matters most and you want an affordable cloud PIMS with unlimited support staff seats.[1][2]
- **Covetrus Pulse** — a strong general option for small-animal practices, especially if you want an all-in-one ecosystem tied to supply-chain workflows.[3]
- **Digitail** — worth considering if you want a more AI-forward platform for documentation and clinic workflows.[1]

If you want the shortest recommendation: **choose Shepherd for best overall capability, or Hippo Manager if your small animal hospital is budget-driven**.[1]

If you’d like, I can also give you a **3-way comparison table** for Shepherd vs Hippo Manager vs Covetrus Pulse based on features, pricing model, and best-fit clinic size.


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 moving from paper charts to cloud software**, the strongest default recommendation is **Shepherd** if you want the best mix of cloud-native workflow automation, fast onboarding, and pricing that is easier to predict for a small independent practice.[7][16][17]

If your clinic’s needs are a bit different, the best alternatives are:

- **ezyVet** if you want a more feature-heavy all-in-one cloud system and expect to rely heavily on diagnostics integrations, especially IDEXX.[7][12][13]
- **Provet Cloud** if you expect to grow into a larger or multi-location operation and want a platform positioned for scalability.[3][7]
- **Covetrus Pulse** if you want a widely recognized cloud option and prefer to compare it against others with strong market presence.[1][11]
- **Hippo Manager** if budget is the dominant constraint and you want a value-focused option for a small clinic.[7]

For a clinic like yours, I would shortlist **Shepherd, ezyVet, and Provet Cloud** and choose based on three practical tests: whether the demo matches your day-to-day workflow, how difficult migration from paper will be, and the *total* cost after implementation, training, support, and add-ons.[1][9][16]

What to prioritize before buying:
- **Cloud access** so you can work from anywhere and avoid maintaining in-clinic servers.[9][10]
- **Workflow fit** for scheduling, medical records, billing, reminders, and client communication.[4][10][19]
- **Integrations** with your lab, imaging, payments, and pharmacy tools.[9][16]
- **Migration support** with a written scope, timeline, and cost.[1][7]
- **Ease of use** so a 3-doctor team can adopt it quickly without heavy admin overhead.[16][17]

If you want, I can turn this into a **shortlist and vendor scorecard** for your clinic based on your budget, species mix, and whether you need online booking, inventory, or advanced diagnostics integrations.


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

For a **multi-location veterinary practice**, the strongest short list from the results is **Provet Cloud**, **Vetspire**, **ezyVet**, and **Digitail**.[3][5][7][11]

- **Provet Cloud**: Best fit if you want **central management across many locations** from one console; it is specifically described as an open-API cloud PIMS built for multi-site operations.[3]
- **Vetspire**: Best if you care most about **cross-location analytics** and consolidated performance reporting for regional managers.[3]
- **ezyVet**: A strong choice for **growing and multi-location practices**, especially when you want cloud-based scale and integrated workflows.[5][7]
- **Digitail**: Best if you want an **all-in-one cloud platform for vet groups** and a modern cloud-native setup.[11][18]

A practical way to choose is:
- Pick **Provet Cloud** if your biggest need is **centralized control** and one operational view across all sites.[3]
- Pick **Vetspire** if your biggest need is **reporting and analytics across locations**.[3]
- Pick **ezyVet** if you run a **larger or specialty-oriented group** and want a scalable cloud system.[5][7]
- Pick **Digitail** if you want a **cloud-first, all-in-one** system for a growing group.[11][18]

When evaluating any multi-location PIMS, verify that reporting is **truly consolidated** rather than separate reports stitched together manually, and ask for a demo of the **central dashboard**.[1]

If you want, I can turn this into a **ranked recommendation by practice size, budget, and specialty**.


affordable veterinary practice management software for small animal clinics

For a **small animal clinic on a budget**, the strongest affordable options in the results are **Hippo Manager**, **Shepherd**, and **ezyVet/Provet Cloud** if you want more advanced cloud features.[2][3][6]

- **Hippo Manager** — repeatedly described as the best value for small clinics; pricing is cited at about **$119 per vet per month**, with unlimited support staff seats and free training.[2][3]
- **Shepherd** — a flat-pricing cloud option starting around **$299/month** with unlimited users, which can be cost-effective if you have multiple staff members.[2][3][11]
- **Provet Cloud** — positioned as a cost-effective cloud PMS for small to mid-sized clinics, with pricing cited around **$249/month** in one comparison.[1][11]
- **ezyVet** — more feature-rich, but pricing is typically higher and often scales by user, starting around **$150–260/user/month** in one source.[3][12]
- **Covetrus Avimark / Cornerstone** — both are presented as established, lower-cost or cost-effective options for small to mid-sized practices, though exact pricing is less consistently shown in the results.[1][4]

If your priority is **lowest total cost**, the results point to **Hippo Manager** as the clearest budget pick for small clinics.[2][3] If your priority is **simple flat pricing for many staff**, **Shepherd** is attractive because it includes unlimited users.[2][3]

A practical way to choose:
- Choose **Hippo Manager** if you want the **best budget-friendly all-in-one PMS**.[2][3]
- Choose **Shepherd** if you have **multiple users** and want **flat pricing**.[2][3]
- Choose **Provet Cloud** or **ezyVet** if you need **more advanced integrations and workflow depth** and can pay more.[3][11][12]

One important caution: veterinary software pricing often varies by **per-vet, per-user, or per-location** model, and setup, training, migration, and add-ons can materially change the real cost.[3][15][16]


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 most commonly cited names being **Avimark, Cornerstone, Impromed/Infinity, ezyVet, Covetrus Pulse, DaySmart Vet, Shepherd, Digitail, Neo, and Provet Cloud**.[1][3][13][17]

If you mean “what do they actually use in the wild,” the clearest pattern from the sources is:

- **Avimark** and **Cornerstone** are still the big incumbents in North America, especially in established clinics.[13][17][18]
- **Impromed/Infinity** is another long-running legacy system that remains in use.[1][13]
- **ezyVet** is widely used in general, specialty, and emergency settings, and is frequently evaluated by small practices moving to cloud software.[2][14][17]
- **Covetrus Pulse** is positioned for general small-animal practices and is part of the Covetrus ecosystem.[3][12][13]
- **DaySmart Vet** is repeatedly described as a strong fit for **solo and small practices** because it is simple and affordable.[3][13][17]
- **Shepherd** is frequently recommended for **independent small-animal practices** and startups.[3][6][15]
- **Digitail** is another cloud option aimed at smaller clinics that want a modern client experience.[8][14][17]
- **Neo** is presented by IDEXX as a cloud option that is popular with small to mid-sized practices.[17]
- **Provet Cloud** shows up more often for multi-site or larger groups, but it is also part of the broader small-animal software landscape.[3][14][15]

If you want the shortest practical answer: **most small animal practices are on Avimark, Cornerstone, Impromed, or one of the newer cloud systems like ezyVet, Covetrus Pulse, DaySmart Vet, Shepherd, Digitail, Neo, or Provet Cloud**.[1][3][13][17]

If you want, I can also break this down into:
- **most common by clinic size**
- **most common by country**
- **best-regarded vs most-installed systems**


Best cloud-based veterinary practice management software

For **cloud-based veterinary practice management software**, the strongest options in the results are **Shepherd**, **Vinny**, **ezyVet**, **Vetspire**, **Digitail**, **Covetrus Pulse**, and **Provet Cloud**.[1][2][3][15][17]

If you want the **best overall cloud-native choice**, the results most strongly favor **Shepherd** for independent and mid-size clinics because it is described as **cloud-native**, with **deep automation**, **flat transparent pricing**, and **unlimited users**.[1]
If you want a platform ranked **best overall** in another cloud-focused roundup, **Vinny** is listed first for combining scheduling, reminders, client communications, and workflow tracking in one cloud system.[2]

A practical way to choose is:

- **Shepherd**: best for clinics that want automation and simpler pricing.[1]
- **Vinny**: best if you want an all-in-one cloud workflow tool.[2]
- **ezyVet**: strongest if you want a mature cloud product with strong third-party validation; its site highlights high ratings on Capterra for overall score, functionality, and customer support.[3]
- **Vetspire**: good if you want cloud-based software with an AI angle.[15]
- **Digitail**: positioned as an all-in-one veterinary practice management platform.[17]
- **Covetrus Pulse**: a notable cloud PMS option, and G2 lists it as a leader in the small-business veterinary category.[12][16]
- **Provet Cloud**: another established cloud option, though one comparison ranks it below ezyVet and others on overall metrics.[3]

If you want, I can also narrow this to the **best cloud software for small clinics, multi-location hospitals, or budget-conscious practices**.


What is the best PIMS for a solo veterinary practitioner?

For a **solo veterinary practitioner**, the strongest overall choice in these results is **Shepherd** if you want a cloud-based PIMS with the simplest workflow and the least operational overhead.[1][8][10]

If your priority is different, the best fit shifts:

- **Shepherd**: best for solo or very small practices that want an intuitive, cloud-native PIMS with strong clinical workflow and fast adoption.[1][8][10]
- **DaySmart Vet**: a strong budget-first option for solo practitioners, especially if you want a simpler setup and lower monthly cost.[2][7]
- **Bittsi**: worth considering if you care most about AI capability and are comfortable evaluating a newer platform.[12]
- **Covetrus Pulse**: a more established alternative if you want a fuller traditional PIMS stack.[1]

If you are a **mobile or house-call solo vet**, Shepherd is the clearest recommendation in the results.[1][16]

If you want, I can also give you a **1-minute shortlist based on your budget, mobile vs. clinic-based workflow, and whether you need built-in imaging, payments, or inventory**.


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 default choice is **Instinct** because multiple 2026 veterinary software guides describe it as purpose-built for **emergency and specialty hospitals** and “wins in an emergency.”[1][2] If you want a more configurable enterprise-style system, **ezyVet** is the main alternative, especially for large emergency departments that need deep workflow customization and broad integrations.[4][5][7][10]

A practical way to choose:

- **Choose Instinct** if your top priority is emergency/critical-care workflow fit, ICU-style operations, and a system designed specifically for high-acuity hospitals.[1][2][7][10]
- **Choose ezyVet** if you expect complex, multi-doctor workflows, need heavy customization, or want a broader cloud platform that also supports specialty and larger-group needs.[4][5][7][10][18]
- **Choose Provet Cloud** if you are planning for multi-site growth or centralized management across locations.[2][10]
- **Choose Covetrus Pulse** if you want to be inside the Covetrus ecosystem and value connected workflow tools more than emergency-specific specialization.[3][9]
- **Choose Vetspire** only if your emergency clinic specifically values its teaching-hospital roots and clinical decision-support positioning; one emergency-focused guide recommends it as a top option, with ezyVet as the best alternative.[4]

For an emergency clinic, the most important evaluation criteria are **speed**, a real-time **whiteboard**, rapid **triage intake**, and reliable **multi-user performance** under pressure.[4] If you test only two systems, test **Instinct** and **ezyVet** under realistic emergency conditions with your actual workflows.[2][4][18]

If you want, I can turn this into a short **vendor comparison matrix** for your clinic size, budget, and whether you need ICU/whiteboard/lab integrations.


Top rated veterinary clinic software for small animal practices

For **small animal practices**, the strongest-rated veterinary clinic software in the provided results is **Shepherd**, with **Hippo Manager**, **Provet Cloud**, **ezyVet**, and **Covetrus Pulse** also appearing repeatedly among top picks for small or independent clinics.[6][9][11][4]

A practical shortlist, based on the results you shared, would be:

- **Shepherd** — described as the **best overall** for most independent and mid-size clinics because of deep workflow automation, cloud-native design, and flat unlimited-user pricing.[6][9]
- **Hippo Manager** — positioned as the **value pick** for budget-conscious small clinics, with affordable pricing and unlimited support staff seats.[6][9]
- **Provet Cloud** — recommended for clinics that want a strong cloud platform with broad functionality and multi-location readiness.[11][6]
- **ezyVet** — best for clinics that rely heavily on **IDEXX diagnostics** or need a more advanced all-in-one cloud PIMS.[11][9]
- **Covetrus Pulse** — highlighted as a good fit for **general small-animal practices** and an all-in-one ecosystem tied to supply chain workflows.[4]

If you want the **best-rated by user-review marketplaces** rather than editorial roundups, the results point to **G2, Capterra, and SourceForge** as the main review sources for veterinary software comparisons, but the snippets provided here do not include a single unified score ranking across all products.[3][5][16]

If you want, I can turn this into a **top 3 recommendation by clinic size and budget** or compare **Shepherd vs Hippo Manager vs Provet Cloud** side by side.


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

The **best diagnostic lab integrations** are generally reported for **IDEXX Cornerstone** and **ezyVet**. Multiple sources describe them as having the **deepest native IDEXX integration** and the strongest lab-result workflow support, especially for practices that rely heavily on IDEXX diagnostics.[2][3][10]

If you want a more specific recommendation by use case:

- **Best overall for IDEXX-heavy clinics:** **IDEXX Cornerstone** — repeatedly described as having the strongest or deepest IDEXX lab integration, including direct analyzer and reference-lab connectivity and automatic result population into patient records.[2][3][4][6][7]
- **Best cloud option for advanced integrations:** **ezyVet** — sources say it matches Cornerstone at the top end for IDEXX-connected workflows and is especially strong for specialty and multi-doctor practices.[2][10][13]
- **Best broader multi-lab integration across many vendors:** **Covetrus Pulse**, **Digitail**, and some other modern cloud systems support a wide range of labs such as IDEXX, Antech, Zoetis, Heska, and others, but the sources characterize their lab integration as broad rather than the deepest.[1][8][11]

So if your question is strictly “which PMS has the *best* lab integrations,” the most defensible answer from these results is **Cornerstone**, with **ezyVet** as the closest competitor and often the best choice if you prefer cloud-based software.[2][3][10]


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

A mobile veterinarian should use **mobile-focused veterinary practice management software** that combines **medical records** and **invoicing** in one cloud-based system. The strongest matches in the results are **ezyVet**, **Vetter Software**, **DaySmart Vet**, and **AcuroVet**, all of which are described as supporting records, billing, and mobile access for veterinarians on the go[9][11][3][8].

If you want the best fit by use case:

- **ezyVet**: good if you want an all-in-one mobile workflow with **medical notes, invoices, payments, and schedule management** from anywhere[9].
- **Vetter Software**: positioned specifically for **mobile veterinarians** handling **house calls, scheduling, invoicing, and records**[3].
- **DaySmart Vet**: cloud-based and designed to manage **patient records, payments, and client communication** from a mobile device[11].
- **AcuroVet**: useful if you need **offline tablet access** plus **medical notes and invoicing** with auto-sync when back online[8][13].
- **Digitail**: a broader practice platform that includes **pet medical records, invoices, payments, and reminders**[6].

If you want the most directly mobile-vet-specific recommendation from the results, **Vetter Software** is the clearest fit because it is described as designed exclusively for mobile veterinarians[3].


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

For a **mixed animal practice** handling both **equine and companion animals**, the best PIMS is usually a **cloud-native system with flexible species workflows, strong scheduling, billing, records, and integrations**—there is no single universal best fit.[4][10]

The strongest candidates in the 2026 comparisons are **ezyVet, Vetspire, Shepherd, Digitail, Covetrus Pulse, Instinct, and Provet Cloud**, with the “best” choice depending on your case mix, locations, and required integrations.[10]

A practical shortlist for your use case:

- **ezyVet** — strong option for larger or more complex mixed practices that need advanced workflows and integrations.[10]
- **Vetspire** — good for clinics that want modern cloud software and flexibility across different practice types.[10]
- **Shepherd** — often recommended for independent and mid-size clinics because of automation and unlimited-user flat pricing.[11]
- **Digitail** — positioned as a good fit for smaller practices, mobile vets, and **mixed-animal clinics**.[9]
- **Provet Cloud** — a solid cloud-native option for multi-doctor or multi-location environments.[10]

If you want the most sensible starting point for a **true equine + companion animal** practice, I’d narrow it to **ezyVet, Vetspire, and Shepherd**, then confirm each one supports:
- **equine-specific billing and inventory needs**
- **species-specific templates and workflows**
- **online booking and client communications**
- **mobile/tablet use in barns and on farm calls**
- **integrations with lab, imaging, and accounting systems**

If you want, I can turn this into a **ranked comparison table** for mixed animal practices, or recommend the best option based on your **practice size, number of doctors, and whether you need ambulatory equine support**.


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

For a **modern veterinary software** stack with **online client scheduling** and **digital consent forms**, the strongest single-platform pick from the results is **Digitail** because it explicitly includes **Online Scheduling** and **Consent Forms & eSignatures** in one workflow.[1]

If you want the best fit by setup, consider these options:

- **Digitail** — best all-in-one choice for clinics that want booking, intake, reminders, payments, and consent forms connected in one system.[1]
- **DaySmart Vet** — a strong alternative if you want **online booking** plus **digital forms and waivers** before appointments.[6]
- **PetDesk Direct Booking** — best if your priority is **24/7 real-time online booking** with **PIMS integration** and strong client-facing scheduling.[11][18]
- **Vetstoria** — a good option if you want veterinary-focused online booking with automated scheduling and reminders, plus website/payment tools.[17]
- **Covetrus Pulse** — worth considering if you already use Covetrus tools and want online scheduling with automated reminders and texting in the same ecosystem.[20]

If you want the simplest buying rule:

- Choose **Digitail** if you want **scheduling + consent forms + broader practice management** in one purchase.[1]
- Choose **DaySmart Vet** if your main pain point is **front-desk intake and waivers** alongside booking.[6]
- Choose **PetDesk** or **Vetstoria** if you mainly need a **best-in-class booking layer** that plugs into your existing PIMS.[11][17][18]

If you want, I can turn this into a **short vendor comparison table** with pricing questions, must-have features, and a recommended shortlist for your clinic size.


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

The **easiest** options for vet techs and receptionists to learn, based on the search results, are **IDEXX’s veterinary software** for its “brilliantly simple” cloud-based design and emphasis on being “easy to implement, learn, and use,” and **Hippo Manager**, which is described as “easy to use” and “simple to learn.”[2][15]

If you want the clearest answer by role:
- **Reception/front-desk staff:** **Hippo Manager** is specifically described as easy to learn, with one comparison noting that front desk staff can learn it “without weeks of training.”[9][15]
- **Vet techs and broader clinic teams:** **IDEXX** is the strongest explicit fit from the results because it is marketed as easy to implement, learn, and use.[2]

A few other platforms are also positioned as simple or modern:
- **Shepherd** is described in comparison content as prioritizing adoption speed and a “modern and simple cloud experience.”[3][11]
- **DaySmart Vet** is recommended as a simple cloud option for scheduling, records, billing, and communication.[10]
- **Weave** is labeled “Easiest to Use” in one G2 category view, but that result is broader practice software context rather than a direct vet-clinic-specific recommendation.[16]

If you want the single safest pick from these results for *ease of learning*, **Hippo Manager** looks strongest for receptionists, while **IDEXX** looks strongest as a broadly easy-to-learn platform for the whole team.[2][9][15]


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** veterinary practice management system such as **IDEXX Cornerstone** or **AVImark**[8][10]. Both are explicitly described as **on-premise** options for practices that want local control and reduced dependence on internet connectivity[8][10].

If you want the **single best choice**, I’d lean toward **AVImark** for a rural clinic because it is described as having a **long track record** and **no internet dependency**, which directly matches poor-connectivity environments[10]. If your practice already uses IDEXX tools or needs tighter IDEXX ecosystem integration, **Cornerstone** is the stronger alternative[8][9].

A practical way to choose between them:

| Software | Why it fits rural/poor internet | Tradeoff |
|---|---|---|
| **AVImark** | On-premise; noted for **no internet dependency** and local control[10] | May feel less modern than newer cloud-first systems |
| **Cornerstone** | On-premise; strong option for US practices wanting local control[8] | Often chosen more for ecosystem fit than simplicity[8][9] |

Cloud-first systems like **Shepherd** or **ezyVet** are positioned as top overall products in general reviews, but they are not the best match when internet reliability is the main constraint[1][5][6].


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

A strong option is **VetPro** if you want a **practice management platform** with both **built-in inventory tracking** and **controlled substance logging** in the same system.[5] It advertises real-time inventory tracking with auto-reorder alerts, batch and expiration management, and a controlled substance module with audit trails and DEA-style compliance logging.[5]

If you want alternatives, **Digitail** is another all-in-one veterinary PIMS with inventory tracking and automatic inventory updates, but the search results do not clearly show the same level of controlled substance logging detail as VetPro.[7] **DaySmart Vet** also has real-time inventory management and expiration/low-stock alerts, but the results here do not explicitly mention controlled substance logging.[4]

If your top priority is regulated-drug documentation, **VetPro** is the clearest match from the results because it explicitly combines both features in one platform.[5]