Best Veterinary Practice Management Software (2026): Top 10 Compared

ezyVet is the cloud practice management system that IDEXX sells to larger and more complex practices. IDEXX's own comparison table places ezyVet, rather than Neo, with specialty, referral and emergency hospitals, with practices open around the clock, and with clinics that want Vet Radar treatment workflow tools. ezyVet states that more than 7,000 practices use it worldwide.

The product keeps clinical records, inventory, invoicing, reporting, diagnostic ordering and client communications in one interface. Clinical templates, structured notes and medical protocols attach to the visit, and charges are added to the invoice as treatments and diagnostics are recorded. Practices using IDEXX in-house analyzers or reference laboratories can order tests and view results from within ezyVet, and the vendor lists more than 100 certified third-party integrations.

Data conversion covers clients, suppliers, patients, medical history, invoices, purchase orders and inventory, and ezyVet states it will warn in advance about any data it cannot convert. Support runs 24/7 by phone and email.

Provet is a cloud PIMS that states it serves more than 3,000 clinics and 55,000 veterinary professionals, with more than 150 integrations. Customer quotes on its site come from IVC Evidensia, a large veterinary group, and from an equine ambulatory practice, and the feature grid includes a production animal toolkit alongside medical records, treatment sheets, boarding, health plans and vaccine certificates.

Core is the single-site plan. Pro adds a referral portal, multi-location management, a triage board and dedicated customer success. Enterprise adds a dedicated account manager, a service level agreement, custom terms and single sign-on. All plans include online booking, scheduling, automated SMS and email reminders, client messaging, consent forms, payment processing, treatment bundles, booking deposits and auto charge capture.

AI patient summaries and AI discharge instructions are listed in all plans, while the Clinical Agent, which fills the medical chart and captures charges from dictation, is a paid add-on. Provet Pay handles card-present and online payments with cards on file.

DaySmart Vet, formerly sold as Vetter Software and still served from the vettersoftware.com domain, is a cloud PIMS that has operated since 2011. Its pricing page states more than 2,500 practices use it, and its testimonials come mainly from mobile and small independent practices.

SOAP notes save to the cloud and can be edited by several staff members at the same time, with customizable templates. Scheduling covers a digital calendar, 24/7 online booking requests, booking deposits and digital intake and consent forms. Client communication includes automated text and email reminders, two-way texting that saves replies to the record, and the PetCare mobile app, through which clients manage visits, view records and certificates, make payments and request prescriptions.

Operations features include wellness plans, inventory with automatic price adjustments, more than 80 reports and more than 40 integrations. Support is available 24/7 by chat, email and phone. Daisy Voice, the vendor's AI tool, drafts SOAP notes from voice as a paid add-on.

Neo is IDEXX's cloud PIMS for smaller practices. Its pricing page compares it directly with ezyVet: Neo is marked for one- and two-doctor single locations and for practices that want self-paced training, while specialty, referral, emergency and 24-hour practices are directed to ezyVet. Both products integrate with VetConnect PLUS and IDEXX Web PACS.

The dashboard summarizes overdue invoices, reminders due, draft invoices and remaining appointments, and a task list collects callbacks and diagnostic results. Patient records give one-click access to history, preformatted examination notes, a master diagnosis list and low and high estimates. Diagnostics can be ordered from IDEXX and Antech with results returned into the record.

The schedule starts estimates and invoices from the appointment, sends SMS reminders and includes a boarding module and a patient portal for client requests. Payments are taken from the patient record through a Clover device. Customer quotes on the site come from a mobile practice and small general practices.

Shepherd is a cloud PIMS founded by veterinarian Dr. Cindy Barnes and designed around the path a patient takes through a visit. Its central idea is that an accurate medical record should produce an accurate invoice: administering a treatment adds it to the invoice and attaches any discharge instructions, and approved estimates are pushed to treatment plans before the patient leaves the exam room.

Inventory is decremented with each product administration and supports reordering. Built-in reports cover accounting through vaccinations, and the vendor lists built-in AI tools trained on clinical cases. Shepherd cites industry estimates of missed-charge losses per doctor to explain the value of automatic charge capture.

The integrations page separates two-way software integrations from data connections. Listed partners include Antech laboratories, IDEXX PACS imaging, CareCredit financing with write-back to the record, CUBEX medication cabinets and the Fear Free emotional medical record, plus categories for client communication, pharmacy, controlled drug logs, microchipping and wellness plans.

Digitail is a cloud PIMS that states it is used by more than 10,000 veterinarians. Its plans are built around practice type. Mobile covers SOAP medical records, scheduling and online booking, inventory, billing and payments, wellness plans, email campaigns, the pet parent app, reporting, a flowboard and more than 40 integrations, including VetCove, IDEXX and VetSource.

Growth, aimed at brick-and-mortar practices, adds the Tails AI Scribe, dental charts, a whiteboard, a boarding calendar with room management, anesthesia and vitals monitoring, dosage guideline setup, an advanced marketing suite and a clinic health dashboard. Growth AI adds the rest of the Tails AI suite: an assistant, intake, medical record summaries, voice to invoice, a practice manager, a commission calculator, a concierge and discharge notes. Enterprise covers multi-location groups.

Unlimited staff users are listed on all plans, and the plans page shows one-month free trials of some AI features. A separate pricing route exists for de novo clinics opening a new practice.

Vetspire is a cloud PIMS that emphasizes ease of use, stating that most clinics learn it in under a week. Medical records are organized around encounters, with real-time documentation, multi-user editing and customizable input types, and records can be filtered by activity or date and shared for referrals.

The scheduler supports drag-and-drop rescheduling, custom appointment types and durations, default encounter templates and schedule templates that reserve time, for example mornings for wellness visits. For multi-location practices, client pricing can be set by clinic, service and department, and personalized dashboards follow each user's role.

Vetspire's AI Scribe records and transcribes consultations into the correct record fields, and AI Summary condenses visit notes and next steps into a short history. Integrated reminders and online booking replace separate client communication tools, which the vendor says saves more than $200 per location per month. Two-way email and text messaging works from the patient chart, and admin triggers send automated messages based on events.

Covetrus Pulse is the cloud practice system at the center of the Covetrus platform, which Covetrus calls a veterinary operating system. It brings Covetrus's other practice services into one workspace.

The vRxPro integration gives practices a branded online pharmacy whose client purchases sync to the patient record, with prescriptions created, approved and renewed in Pulse. Covetrus Payments handles checkout and reconciliation, Covetrus Comms adds online scheduling, automated reminders, unlimited texting and appointment deposits, and Covetrus CarePlans imports billing status and service consumption into the record.

Embedded Covetrus AI drafts SOAP notes, and Covetrus states it saves an average of six hours per vet per week. Daily tools include a treatment board with real-time patient status, a task dashboard for callbacks, customizable fillable forms that write into the record, and clinic reports. Covetrus lists more than 250 third-party integrations, including Zoetis Diagnostics. Its support site provides hardware specifications, a data conversion guide and a go-live checklist.

Cornerstone is IDEXX's server-based practice management system, installed on the practice's own infrastructure rather than run in a browser. It is the only on-premises product on this page.

Core features include diagnostic integration with IDEXX in-house analyzers and reference laboratories, scheduling, inventory, electronic medical records, imaging integration, invoicing, reporting and a patient whiteboard. A compliance assessment feature alerts staff to every care opportunity a patient is eligible for. VetConnect PLUS shows all IDEXX results for a patient with trend graphs, and Vello adds automated reminders and a pet owner mobile app. Cornerstone Payments sends invoice amounts to the card terminal and records payments back in the software.

The partner list includes Antech, Abaxis and Heska laboratories, Cubex and Omnicell dispensing cabinets, MWI and Patterson ordering, Instinct treatment plans, IDEXX Web PACS and IDEXX data backup and recovery.

NectarVet is a cloud PIMS aimed at clinic teams in small and independent practices, and states that more than 1,000 veterinarians use it. Its headline feature is AI-assisted SOAP notes generated from voice, which the vendor says can complete an exam record in under five minutes.

Invoices are generated automatically from the visit to reduce missed charges, and online booking can take deposits to discourage no-shows. Client communication includes patient reminders, two-way SMS and MMS saved to the patient record, a client portal and direct online scheduling. Clinical tools include surgery notes with a monitoring chart, prescription management, custom treatment bundles, digital patient diagrams, a digital treatment whiteboard and a clinic flow dashboard.

NectarVet lists two-way laboratory and radiology integrations, appointment and boarding calendars and an integration with VetCove for purchasing. Testimonials on the site come from small practices and mention customized workflows, built-in payments and paperless setup.