# Senior-dog vet quote and annual budget worksheet

Use real clinic figures in Australian dollars. This worksheet does not determine which tests or treatments your dog needs. Ask the veterinarian to explain the purpose, benefit, timing and alternatives for each recommendation.

## Dog and clinic details

- Dog, breed and date of birth: ______________________________
- Weight and known diagnoses: ______________________________
- Clinic and veterinarian: ______________________________
- Appointment date and reason: ______________________________
- Quote date, expiry and staff member: ______________________________
- New symptoms, notes and video files supplied: ______________________________
- Current food, medications and supplements supplied: Yes / No

## Visit estimate

Write **Included** only when the clinic confirms inclusion. Write **N/A** with a reason. Leave unknown amounts blank.

| Service | Required now / conditional / optional / N/A | Clinical purpose | Included in base fee? | Estimate AUD | Consent needed before proceeding? |
|---|---|---|---|---:|---|
| Standard or extended consultation |  |  |  |  |  |
| Weight, body and muscle assessment |  |  |  |  |  |
| Mobility, pain or cognitive screening |  |  |  |  |  |
| Blood-pressure measurement |  |  |  |  |  |
| Blood-sample collection |  |  |  |  |  |
| CBC/chemistry panel: __________________ |  |  |  |  |  |
| Urine collection and urinalysis |  |  |  |  |  |
| Additional test: __________________ |  |  |  |  |  |
| Imaging: __________________ |  |  |  |  |  |
| Lump sampling/cytology |  |  |  |  |  |
| Vaccination or preventive care |  |  |  |  |  |
| Medication: __________________ |  |  |  |  |  |
| Dental assessment |  |  |  |  |  |
| Dental procedure—separate estimate |  |  |  |  |  |
| Results discussion |  |  |  |  |  |
| Follow-up examination |  |  |  |  |  |
| Referral or after-hours care |  |  |  |  |  |
| Other: __________________ |  |  |  |  |  |

**Base appointment amount:** __________________  
**Required/recommended now subtotal:** __________________  
**Known follow-up amount:** __________________  
**Conditional amount not yet authorised:** __________________  
**Planned visit total excluding unauthorised conditional items:** __________________

## Questions before consent

1. What is the examination-only fee?
2. Which services are included in the quoted senior package?
3. Which items are clinically important now, and which are conditional?
4. What decision will each test or procedure help make?
5. Are collection, laboratory, interpretation and results discussion separate?
6. What are the reasonable alternatives, including staged care?
7. What are the risks of waiting or declining each item?
8. When will results arrive, and does the follow-up cost extra?
9. What happens if the examination identifies a new problem?
10. Can I set a spending limit beyond which the clinic must contact me?

## Annual plan

Use the veterinarian’s recommended frequency. Do not assume every visit repeats the same tests.

| Planned care | Visits or units per year | Cost per visit/unit AUD | Annual estimate AUD | Notes |
|---|---:|---:|---:|---|
| Routine senior examinations |  |  |  |  |
| Blood/urine screening |  |  |  |  |
| Blood-pressure or other targeted monitoring |  |  |  |  |
| Chronic-condition rechecks |  |  |  |  |
| Medications |  |  |  |  |
| Vaccinations/parasite prevention |  |  |  |  |
| Dental assessment/procedure allowance |  |  |  |  |
| Rehabilitation or mobility support |  |  |  |  |
| Other: __________________ |  |  |  |  |

**Planned annual subtotal:** __________________  
**Problem-care or emergency allowance:** __________________  
**Annual planning total:** __________________  
**Monthly equivalent—annual total divided by 12:** __________________

## Insurance and assistance check

- Current PDS and policy schedule checked on: ______________________________
- Routine/preventive care treatment under this policy: ______________________________
- Illness-related consultation and diagnostic coverage: ______________________________
- Excess, benefit percentage, limits and sub-limits: ______________________________
- Pre-existing-condition or age-related restrictions: ______________________________
- Expected out-of-pocket amount: ______________________________
- Clinic/community assistance or payment options checked: ______________________________

Do not assume wellness screening is insured or that every policy treats diagnostic tests the same way. Confirm with the insurer and read the current PDS.

## Safety and budgeting notes

- Do not delay urgent care while completing this worksheet.
- Do not give human medicines or another animal’s prescription.
- A lower quote is comparable only when clinical scope and inclusions are equivalent.
- A benchmark is not a personalised quote and an estimate can change with examination findings.
- Ask for informed consent before conditional work and record any agreed spending limit.

Worksheet drafted 1 November 2026; veterinary and editorial cost review required before publication.