In 2025, veterinary clinics will rely heavily on digital practice management. Modern veterinary software solutions help manage scheduling, patient records, billing, inventory, and client communication, improving efficiency and care. The global veterinary software market is growing rapidly, projected to more than double (8.8% CAGR) by 2033. Over 60% of U.S. vet practices already use some form of practice management software. According to industry analysts, technology is playing a crucial role in transforming clinics, streamlining workflows, and enabling better patient care and client communication.
In particular, 2025 trends include a shift to cloud systems, integrated telemedicine/virtual care, and AI-driven tools for data management. As clinics grow and competition increases, choosing the right vet software is essential to improve efficiency, accuracy, and client satisfaction.
What to Look For in Veterinary Software
When evaluating veterinary software, clinics should consider a range of core features:
- Appointment Scheduling and Reminders:
Online booking, flexible calendars, and automated reminders by email/SMS keep schedules full and reduce no-shows. Efficient schedulers allow staff to book, reschedule, or walk-in appointments quickly, and often include deposit/confirmation handling.
- Patient Medical Records (EMR/EHR):
A unified system for SOAP-style records, exam notes, treatment plans, and medical history. Look for support for charts, images (x‑rays, lab results,) and easy-access patient profiles. Customizable templates and allergy alerts help maintain complete, accurate records.
- Billing and Invoicing:
Integrated billing streamlines invoicing, payment processing, and insurance claims. Features can include automated invoicing from digital treatment plans, multiple payment methods, and claims submission. Client payment portals or mobile credit-card processing (even curbside via text link) enhance cash flow.
- Client Communication and Engagement:
Automated messaging (email/SMS) and patient portals keep owners informed. Essential tools include two-way texting with clients (for reminders or questions) and branded mobile apps or web portals for appointment requests, records access, prescription refills, and updates. Streamlined communication improves compliance and client.
- Inventory and Supply Management:
Tracking of medications and supplies is critical for clinics. A good system will alert staff when stock is low, support reordering, and apply correct pricing (including taxes). Some systems integrate with purchasing services to automate inventory restock. Efficient inventory features save time and prevent stockouts.
- Telemedicine/Virtual Care:
With growing demand for remote consults, look for software that includes or integrates with video call functionality. Many 2025 platforms support telehealth either natively or via add-ons, letting vets conduct virtual appointments and e-prescriptions from within the system. Built‑in telemedicine tools help practices expand access and revenue.
- Reporting and Analytics:
Built-in reporting tools let clinics track key metrics (revenue, caseload, utilization) and generate reports on finances, inventory, and patient outcomes. Data dashboards and KPIs help practices make informed decisions. Advanced systems may offer business intelligence (BI) reporting or AI-driven analytics for trends and benchmarking.
Other considerations include usability (easy interface and training), cloud vs desktop (cloud systems offer anywhere access and automatic updates), integrations (with labs, imaging, pharmacy, payment processors), and support/training options. In short, a modern veterinary PMS should be comprehensive yet easy to use, enhancing daily workflow without extra complexity.
Top 10 Veterinary Software Solutions in 2025
Below are ten popular veterinary software products for U.S. clinics (both cloud and desktop) in 2025. Each overview notes the platform’s focus, pros/cons, key features, and pricing model.
1. ezyVet

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ezyVet is a comprehensive cloud-based practice management system popular with mid-size and specialty clinics. Now part of IDEXX, it offers a wide array of tools in a single platform. ezyVet’s web-based design lets staff access the system on any device without local servers. It supports the full workflow: from scheduling and check-in to SOAP charting, diagnostics ordering, invoicing, and reminders.
Clinics using IDEXX labs benefit from native VetConnect integration. The vendor emphasizes continuous updates and 24/7 support to keep the software current. Users report that ezyVet has a rich feature set and is highly customizable. It receives strong ratings for its extensive integration ecosystem (over 100 third‑party tools) and intuitive, color-coded interface. In practice, ezyVet handles inventory, invoicing, lab integrations, and reporting from one dashboard.
However, clinics note some drawbacks. The software’s depth and flexibility come with a learning curve. A few users mention that support responsiveness can vary and that the system’s payment/billing features have limitations (e.g., lack of flexible point-of-sale features). Overall, ezyVet excels in features and automation but may require training to unlock its full power.
Pros
Cloud access (no servers) and continuous updates.
Highly customizable workflows and strong third-party integrations.
Powerful reporting and client engagement tools.
Cons
Steep initial learning curve.
Some users report occasional UI complexity or searching slowness.
Billing/payment functionality is solid but not as flexible as specialized tools.
Key Features of ezyVet:
- Appointment scheduling
- SOAP-based patient records
- Inventory management
- Billing/invoicing
- Automated reminders and communications
- Integrated IDEXX lab ordering
- Custom reporting and dashboards
Pricing of ezyVet:
Subscription-based (cloud).
Starts around $245 per month per user (veterinarian). This base fee covers all core features; pricing scales with user count. (No major tiers – one flat rate covers standard features). Setup includes ongoing 24/7 support.
2. Provet Cloud

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Provet Cloud is a cloud-based veterinary PMS designed for practices of all sizes, including multi-location groups. Originating in Europe, it has established a presence in the US with a focus on customization and modern tools. Provet offers local support teams and dedicated implementation partners to tailor the system to each clinic’s workflow.
It features an advanced digital whiteboard (an at-a-glance clinic status board) and built-in business intelligence reporting, aiming to give management a 360° view of both clinical and financial operations. Provet Cloud is praised for its simplicity and adaptability. Many users say it feels streamlined and reliable – the interface is clean and easy to learn. It offers a broad set of features, including scheduling, patient records, invoicing, lab integration, and client communication. Integration points cover virtually any third-party app (accounting, pet health plans, reporting tools, etc.).
For advanced needs, Provet supports add-ons like mobile pet parent apps and inventory modules. Its back-end API allows for extensive customization. Customer feedback highlights its strong support and flexibility. Reviewers note Provet’s support team is “responsive and knowledgeable,” and the product is frequently updated based on user feedback.
On the other hand, clinics report challenges during setup: migrating data from old systems can be complex, and the abundance of customization options may feel overwhelming at first. Over time, most users adapt and appreciate the system’s robustness.
Pros
Highly customizable for any practice size.
User-friendly interface with a collaborative whiteboard.
Strong local support and training; robust analytics and reporting (BI dashboards).
Cons
Initial implementation can be complex (data migration, training).
Many features/options can be overwhelming initially.
Custom modules may require additional training.
Key Features of Provet Cloud:
- Cloud-based EMR and scheduling
- Digital whiteboard/status board
- Automated invoicing and insurance claims
- Lab integrations (in-clinic and external labs)
- Client communications (reminders/text/email)
- Inventory tracking
- Task management
- Comprehensive reporting
- Add-ons include payment processing, wellness plans, E-signature, and more.
Pricing of Provet Cloud:
Subscription (SaaS) with a monthly fee + per-user fee.
The base price varies by practice size; small clinics start around a few hundred dollars per month per doctor. Provet provides custom quotes after assessing the clinic’s needs. In addition, there is an implementation fee (based on training/onboarding needs). Larger hospital systems can use an Enterprise plan with advanced features.
3. Shepherd Vet Software

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Shepherd is a newer, cloud-based PMS designed by veterinarians for veterinarians. Its interface is intentionally simple and streamlined, aiming to automate routine tasks. Shepherd’s core philosophy is that entering common patient care actions (like exams, vaccines, or procedures) should automatically generate the correct charges, reducing data entry. It has an online portal for clients to view pet records and prescription refills, and it handles typical practice needs: scheduling, SOAP charting, billing, inventory, and reporting.
Shepherd is targeted especially at small-to-medium general practices (including mobile vets). The software includes a robust SOAP-based workflow: each patient chart guides the user through Problem-List diagnoses and captures data in intuitive screens. The system also emphasizes client engagement: owners can log into a portal to see medical histories, prescriptions, and vaccination certificates.
Users appreciate Shepherd’s ease of use and affordability. Many say the interface is clean and intuitive, requiring minimal training. It offers essentials like two-way SMS reminders and a client portal. Pricing is transparent: Shepherd charges $299 per month for the first vet, plus $99 for each additional vet. Free demos and trials are available.
On the downside, Shepherd is simpler than legacy systems and lacks some advanced features. Users note there is no offline mode (it’s web only), and currently no built-in pharmacy or route integration. A few reviewers mention limitations in searching records and that certain workflows (like entering SOAP data and prescriptions) can require extra clicks compared to other systems. The mobile app and off-site access are good for travel, but power users may find occasional feature gaps (for example, it doesn’t automatically generate SOAP note text).
Pros
Intuitive, clean interface that new staff can pick up quickly.
Built-in charge capture automation (each action generates billing).
Client portal and SMS reminders included.
Very competitive pricing for a cloud system.
Cons
Web-only (no offline capability).
Basic reporting and search functionalities.
Lacks some advanced modules (no integrated pharmacy, limited customization).
Some workflows can feel click-heavy.
Key Features of Shepherd Vet Software:
- Cloud-based appointment scheduler
- SOAP charting with problem lists
- Automated billing (charges linked to treatments)
- Client communication (email/SMS reminders)
- Online client portal (medical records, refill requests)
- Inventory tracking
- Basic financial and compliance reporting
- Supports multi-tax (helpful for mobile vets)
Pricing of Shepherd Vet Software:
Monthly subscription, tiered by doctor count.
A single-doctor practice pays $299/month; each additional vet adds $99/month. Data migration services are offered (often waived) but may not include historic invoices or attachments. A 14-day free trial/demo is available.
4. Digitail

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Digitail is a cloud-based all-in-one veterinary practice manager known for its modern design and AI-enhanced features. Designed to optimize workflows, Digitail includes not only scheduling and records but also a built-in veterinary AI assistant. This assistant can automate parts of charting – for example, generating draft SOAP notes, patient summaries, and treatment plans from voice input or typed prompts.
It is often marketed as a “vet-in-your-pocket” solution, since it offers a companion pet parent app for clients and strong mobile support.
On the functional side, Digitail covers core needs: online booking, appointment management, e-prescribing, treatment planning, and reporting. It emphasizes an end-to-end workflow: patient intake, treatment, and discharge processes are streamlined. The interface is user-friendly and cloud-based, giving clinics everywhere access. Users highlight that Digitail is particularly easy to set up and navigate; one review notes constant platform improvements and a helpful support team.
The platform also integrates SMS reminders and secure messaging, plus telehealth consults. Key features include customizable SOAP templates, lab and imaging connections, and an automated billing system that “pulls” approved treatment charges directly into invoices (reducing missed charges). The pet-parent mobile app allows clients to request appointments, view records, receive reminders, and even pay bills.
Additionally, Digitail supports multi-clinic operations (groups) and has a REST API for integrations. Digitail’s main drawbacks are typical of newer software. Some users report limitations with inventory management and hardware (e.g., label printers), requiring adjustment. A few reviews mention occasional support delays or incomplete initial setups (such as migrating account balances from old systems). As with any subscription system, costs add up with multiple doctors. On balance, Digitail earns high marks for usability and innovation.
Pros
Clean, intuitive interface and easy adoption (no servers to manage).
Unique AI-powered features (auto-generated SOAP notes and summaries).
Integrated pet owner app and messaging.Strong onboarding/support and constant feature updates.
Cons
Inventory and financial modules have a learning curve.
Hardware setup (like label printers) can be tricky.
Some clinics report support response delays or data migration hiccups.
Pricing is per user, which can be relatively high for many doctors.
Key Features of Digitail:
- Cloud EMR with multi-location scheduling
- AI-assisted SOAP note generation and treatment planning
- Client engagement tools (mobile app, SMS/email reminders)
- Automated billing from treatment plans
- Medical record charting with templates
- Robust reporting and KPI dashboards
- Integrates with labs and radiology
- Supports online payments
Pricing of Digitail:
Subscription per veterinarian.
Public sources indicate a starting price around $300 per month for one vet (exact quotes are customized). Pricing scales by the number of veterinarians. Unlimited support and training are usually included; additional modules (like voice dictation) may incur extra fees.
5. Instinct Science

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Instinct Science is a cloud-based PMS targeted at high-acuity and specialty hospitals. It is the first system built around fully integrated digital treatment sheets – essentially an EMR-centric platform that ties together all patient care activities. Instinct provides a 360° view of each patient: treatment plans, vital signs, labs, medications, and procedures are all entered via intuitive on-screen flows.
The software was originally created by emergency veterinarians, so it emphasizes critical-care workflows (e.g. ICU record-keeping, anesthesia monitoring, rapid triage). Key features include built-in drug dose calculators, patient safety alerts, and integrated digital charting that automatically captures charges. Instinct claims it can boost revenue by ensuring no service is missed: all treatments entered in the software feed into billing, reducing undercharge by an estimated 5–10%.
The system supports real-time collaboration (multiple techs/vets updating charts simultaneously) and features like digital signatures and consent forms. For teaching hospitals, Instinct offers student permissions and on-the-fly reporting to aid training. It also provides secure mobile access and strong data encryption. On the support side, Instinct markets “24/7 live chat” with veterinary professionals for help.
Many leading universities and specialty centers use Instinct (over 50% of U.S. teaching hospitals). Given its focus, Instinct is quite advanced and is often more than what a small clinic needs. It may be overpowered (and over budget) for a general practice. Clinics note that Instinct delivers a very modern interface and powerful automation, but it requires commitment to implement. Pricing is custom (vendor quote) rather than a set per-doctor fee.
Pros
Industry-first integrated treatment chart (digital flow sheet) ties all care activities and billing together.
Advanced hospital-centric tools (automated drug dosing, anesthesia modes, student modules).
Strong support and frequent updates; multi-location and corporate group capabilities.
Cons
It may be complex for small clinics (designed for emergency/specialty use).
Higher learning curve.Custom pricing (likely premium).Cloud-only (no offline).
Hardware integration (like IoT devices) may be required for some features.
Key Features of Instinct Science:
- Digital treatment plans and charting
- Full EMR with vitals tracking
- Dosing calculators and patient safety alerts
- Collaborative SOAP notes
- Billing integration to capture charges automatically
- Workflows for emergency and specialty cases
- Referral/teaching tools
- Enterprise features like SAML single sign-on
- Extensive integrations (labs, imaging)
- Custom report tools
Pricing of Instinct Science:
Custom quote.
Instinct is sold as a subscription to large hospitals or networks. Costs depend on clinic size and required modules. (Prospective users schedule demos for tailored pricing.)
6. Vetspire

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Vetspire is a cloud-based veterinary platform positioned as “vet-centered” PIMS with a strong technology core. It emphasizes clinician productivity and leverages data-driven tools. Vetspire’s unique approach includes customizable client pricing (letting practices charge different prices to different client segments), mobile apps, and AI features in its roadmap. The interface is modern and built around efficient workflows.
Key differentiators for Vetspire are its pricing model and multi-location support. Clinics choose between two plans (Standard or Pro) and vet count; pricing is per full-time veterinarian. For a small practice (1–10 vets), Standard costs $299 per vet/month, while Pro is $379. Larger practices get volume discounts (e.g., enterprise rate $249/$329 in 50+ locations). Its tiered feature matrix shows that even the Standard plan includes core medical records, scheduling, automated reminders, inventory tracking, internal chat, and financial reporting.
Upgraded plans add “Pro” features like two-way messaging, client newsletters, online booking, a mobile app, and advanced reporting triggers. Vetspire highlights innovation, with “AI at the core” (plans for voice-to-text scribe, SOAP summarization) and a well-designed mobile app for staff. Practices like its whiteboard-style visual patient list and real-time data dashboards.
Users often praise its clean design and built-in flexibility. Potential cons include its relative newness in the market and specialized pricing structure. Some clinics may find the per-vet pricing high if they have many part-time doctors. Also, as with any cloud suite, training and buy-in are needed.
Pros
Modern, intuitive UI built for clinicians.
Flexible pricing tiers and multi-location support.
Comprehensive features even on the basic plan (EMR, inventory, scheduling).
Strong internal communications tools and client messaging.
Cons
Newer company (still adding users and stability).
Subscription cost per DVM can be significant.
Advanced AI features are not all live yet.
Key Features of Vetspire:
- Appointment calendars and online booking
- Patient medical records
- Automated reminders
- Inventory and supply management
- Internal chat/tasks and targeted client messaging
- Financial reporting and analytics
- Two-way SMS/email with clients
- Mobile staff app
- Advanced add-ons like patient boarding and wellness plan modules
- Offers an open API for custom integrations.
Pricing of Vetspire:
Subscription per full-time veterinarian.
In 2025, $299 per vet/month (Standard) or $379 (Pro) for small clinics (1–10 vets). Larger clinics pay less per vet ($279/$349 for 11–49 vets; $249/$329 for 50+).
No permanent license; pricing includes software and cloud hosting. Implementation fees may apply (tiered packages start around $3,000 for basic setup).
7. Covetrus Pulse

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Covetrus Pulse (now under Zoetis) is an integrated veterinary operating system that combines practice management, pharmacy, and hardware into one ecosystem. It is offered as a cloud-hosted platform (hosted by RoboVet).
Pulse aims to handle the full spectrum of clinic operations. It includes tools for scheduling, charting, billing, and also tightly integrates pharmacy dispensing (through RxWorks) and specialized lab hardware. The core strength is its unified design: for example, RxWorks automates dispensing workflows and inventory tracking, while the Rapport module handles all client communications (email/SMS) across the system.
Pulse’s feature set is broad. It provides all the expected modules (EMR, invoicing, reminders, inventory, etc. – see feature list).
Key highlights are Rapport (an integrated messaging system supporting texts, emails, and even social media campaigns) and Mobile Vet, a tablet/phone interface so doctors can access patient charts on the go. The platform also includes comprehensive backup and data security. Notably, Pulse leverages the Covetrus Connect network to integrate with many third-party tools (labs, diagnostic devices, imaging).
Being a one-stop ecosystem, Pulse can streamline revenue capture and communication. Clinics using Covetrus Pulse often have Covetrus-owned clinics or use Covetrus pharmacy services. Because of its scale, Pulse requires infrastructure: customers may use specific hardware (servers, RoboVet hosting) and dedicated support.
Pros
Extremely comprehensive suite (PM + pharmacy + hardware) in one system.
Built-in client communication (Rapport) and mobile tools.Integrates seamlessly with Covetrus pharmacy (RxWorks) and many vet-specific hardware devices.
Robust data backup/hosting.
Cons
Complex implementation.
Desktop/server component (so not purely cloud) for some features.
Less flexible for integrating non-Covetrus products.
It requires a Covetrus pharmacy or hardware subscription to realize the full benefits.
Key Features of Covetrus Pulse:
- Appointment and calendar management
- EMR charting
- Billing/invoicing and inventory (with pharmacy integration)
- Client communication suite (email/SMS reminders via Rapport)
- RxWorks pharmacy system
- Full-service lab/radiology integration
- Detailed reporting and analytics
- Special modules include mobile access and complete hardware-supported workflows.
Pricing of Covetrus Pulse:
Custom.
Pulse is sold via consultation. There is no published rate; pricing typically involves a base system license plus optional hardware/service fees. (Clinics often bundle Pulse software with Covetrus pharmacy services.)
8. IDEXX Neo

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Neo is IDEXX’s modern cloud-based practice management software targeting small to mid-size practices. It is designed to be simple and user-friendly, often cited as an easy-to-learn alternative to more complex systems. IDEXX markets Neo as a “brilliantly simple” PM that helps staff complete tasks much faster.
The system covers the essentials: client/patient database, appointment scheduling, treatment and exam notes, billing, and client communications. It also integrates with IDEXX’s VetConnect lab portal, allowing ordering and results to be seamlessly within Neo.
Neo’s interface is clean and streamlined. Key tools (such as scheduling or invoicing) have dedicated screens. Notably, Neo includes built-in online payments and an optional Vello add-on for client engagement (for text/email reminders and owner access portal). For busy clinics, Neo offers features like digital client consent forms, quick exam templates, and performance dashboards. IDEXX touts that clinics can become “5x faster” on common tasks with Neo’s workflow streamlining.
As a newer cloud solution, Neo’s pricing is transparent. It has relatively low start-up costs (no capital investment) and charges a flat monthly fee per clinic (not per doctor). According to IDEXX, Neo’s base subscription is affordable with no hidden fees. (Public sources suggest around $230–$250 per clinic per month, but actual quotes vary by region.) Users find Neo easy to navigate and appreciate the all-in-one access (no server needed).
Some note it lacks the depth of large-hospital systems: it has fewer advanced modules, and reporting is more basic. Still, for a small practice migrating off paper or an old system, Neo provides a gentle entry to cloud management.
Pros
Very easy to use and quick to learn.Affordable flat-rate pricing; excellent IDEXX lab connectivity (VetConnect Plus embedded).
Modern interface with built-in scheduling, billing, and communications.
No server hardware needed (fully cloud), and updates are automatic.
Cons
Limited advanced features compared to legacy systems.
Fewer customization options.
Reporting and inventory tools are simpler. (It is aimed at straightforward general practice use.)
Some add-ons (payments, client portal via Vello) cost extra.
Key Features of IDEXX Neo:
- Online scheduling and calendar
- Patient medical records and SOAP notes
- Integrated exam templates and master diagnosis list
- Built-in payment processing and digital signatures
- Client SMS/email communications and reminders; customizable reporting dashboard
- Optional add-ons include Vello (client engagement portal) and embedded credit-card payments.
- IDEXX diagnostic integration (including patient lab results and imaging) is a native strength.
Pricing of IDEXX Neo:
Cloud subscription with a simple tier.
IDEXX advertises “no surprises” and cuts costs for clinics. Industry sources indicate a base price around $230–$250 per clinic per month (flat, not per user) with support included. Larger clinics can bundle multiple locations. Neo offers a free trial and includes data conversion from Cornerstone or other systems (quoted on request).
9. DaySmart Vet

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DaySmart Vet (formerly Vetstreet/Vetter Software) is a long-standing cloud-based practice management suite for veterinary clinics. It emphasizes an all-in-one, easy-to-use approach, appealing to general practices that value simplicity and support. DaySmart’s cloud platform handles scheduling, patient records, billing, inventory, reporting, and client engagement. Over 6,000 veterinarians use DaySmart to modernize their practices. A key feature is collaborative charting: multiple staff can update a patient’s SOAP notes simultaneously, with autosaving and customizable templates.
The system also includes dynamic scheduling (digital calendar with online booking and deposit handling). For client communication, DaySmart offers automated text/email reminders, two-way texting, and even a branded mobile app (PetCare) where pet owners can make appointments, view records, and pay bills. Billing is robust, with customizable invoices and integrated processing (including the ability to text payment links). DaySmart also tracks inventory and provides over 80 built-in reports. DaySmart Vet is known for its affordability and friendly interface. Users highlight that it is intuitive and offers competitive pricing for small practices.
The company provides 24/7 support and frequent feature updates. The system’s simplicity is both a strength and a limitation. While easy for new users, it may lack some advanced customization or specialized features. Some clinics report occasional bugs or that certain features (like searching or batch-scheduling) could be improved. Nevertheless, for many practices, DaySmart provides a solid, cloud-ready solution.
Pros
Cloud access with affordable flat-rate pricing ($116/month plan available).
Very user-friendly interface and onboarding.Strong scheduling and communication tools (2-way texting, automated reminders, mobile client app).
Collaborative SOAP notes and comprehensive billing.Includes 24/7 support and free migration of basic data.
Cons
Some reports of occasional glitches and limited advanced functions (search and filtering may be slower).
Basic plan may not include all add-ons (online booking or advanced reporting may require higher tiers).
User interface, while intuitive, is less modern than newer platforms.
Key Features of DaySmart Vet:
- Online appointment calendar with deposits
- Patient record database with customizable SOAP note templates
- Automated texting/email for reminders and campaigns
- Two-way texting and client portal (PetCare app)
- Inventory management with auto price updates
- Billing automation (text payment requests, invoicing)
- Robust reporting (80+ reports) and integrations (40+ partners)
- Offers wellness plan management
Pricing of DaySmart Vet:
Cloud subscription.
DaySmart Vet offers multiple plans. A notable entry-level plan costs $116 per month (flat rate), which includes unlimited users. Higher tiers add more features (like online booking or advanced analytics). All subscriptions include 24/7 support and continuous updates. Free 14-day trial available.
10. IDEXX Cornerstone

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IDEXX Cornerstone is a legacy server-based practice management software that remains widely used in the U.S. It is a comprehensive on-premises system packed with features for hospital workflows. Unlike cloud products, Cornerstone runs on local servers and workstations. It excels at integration with IDEXX diagnostics: VetConnect Plus is built in, providing lab data, reference results, and imaging access directly in the software.
Cornerstone’s feature set is very broad. It handles scheduling, medical records, invoicing, inventory, compliance alerts, imaging, and more. For example, its scheduling module shows all activities at a glance, and its compliance module prompts staff on preventive care (e.g., due vaccinations).
The whiteboard view lets a hospital track patient status and tasks in real time. Custom forms (consent, intake) and a built-in dental chart and radiology viewer are part of the system. Cornerstone Payments is an add-on that integrates card terminals to speed up checkout. Clinics favor Cornerstone for its stability and depth of features. Many hospitals and large practices use it because it can handle high data volumes and has extensive customization (report builder, user roles, etc.).
Cornerstone also works offline since it’s installed on-site. On the downside, as older software, it has a dated interface and requires IT maintenance (servers, backups). Upgrades often need professional help. IDEXX has largely replaced Cornerstone with Neo for new clients, but Cornerstone is still common in existing clinics.
Pros
Very feature-rich and mature (scheduling, EMR, imaging, inventory, compliance, etc.).
Deep integration with IDEXX lab/diagnostics (VetConnect Plus).
Robust reporting and customizability.Works offline on a local network (no internet needed to use).
Cons
On-premises (requires servers and IT support).
Older interface.Higher upfront licensing or maintenance costs.
Less agile updates (annual releases).Not inherently mobile or remote.
Key Features of IDEXX Cornerstone:
- Integrated IDEXX diagnostics
- Appointment scheduler
- Inventory tracking
- Full EMR (SOAP notes, exam flows)
- Automated invoicing
- Extensive reporting on KPIs
- Hospital whiteboard for patient status
- Includes dental and full imaging integration (view X-rays/PACS), client engagement via Vello (optional), and IDEXX Payments terminal support.
Pricing of IDEXX Cornerstone:
License-based.
Clinics purchase a perpetual license or subscription from IDEXX, plus annual maintenance. Costs depend on clinic size and modules. (Exact pricing is quoted by IDEXX.) Data conversion services from Cornerstone to Neo are also available for those migrating to the cloud.
Conclusion
Selecting the right veterinary software is a critical decision. A good system should match a clinic’s size, specialty, and workflow, while keeping staff productive and clients engaged. The 2025 landscape offers mature solutions (like Avimark/Cornerstone via legacy platforms) as well as new cloud-native options (like ezyVet, Neo, Instinct, etc.). Clinics benefit from cloud systems’ anytime-anywhere access and automatic updates, but desktop products may still suit large multi-doctor hospitals needing full offline operation.
Its imperative that you involve your team in the evaluation, list your essential features (scheduling, EMR, billing, comms, etc.), and take advantage of demos or free trials. Comparing pricing models (per-doctor subscription vs flat rates, licensing fees, data migration costs) is also important. Ultimately, the right software will streamline your practice, free staff from administrative hassles, and let you focus on quality patient care and client relationships.
Remember to read independent reviews and user feedback for real-world pros and cons, and to verify that the vendor provides reliable support. With the many capable options in 2025, a careful evaluation will help your clinic find a system that modernizes operations without unnecessary complexity.
Frequently Asked Questions
What core features should my clinic look for?
Look for easy appointment scheduling with reminders, a unified patient record system, and integrated billing. Good software also handles inventory, client messaging, and basic reporting in one place.
Cloud-based or desktop – which is better?
Cloud systems let you work from anywhere and update automatically, while desktop setups keep data on-site and work offline. Choose cloud if you need flexibility; pick desktop if you must run without internet.
How much does veterinary software cost?
Most platforms use monthly subscriptions, ranging from around $100 to $300 per user or per clinic. Prices vary by features, number of users, and add-ons like telemedicine or AI tools.
Can I move my data from an old system?
Yes, many vendors offer data migration services or free tools to import patient records and invoices. You’ll usually work with a specialist during setup to make sure nothing gets lost.
Does it support telemedicine and virtual care?
Top systems include built-in video calls or integrate with telehealth add-ons. That lets you see patients remotely, send e-prescriptions, and keep digital records in one platform.