AI in your practice
For the owner or manager of a one to four veterinarian clinic: the jobs AI does well now, the ones to hold off on, what the AVMA, the veterinary radiologists and the FDA say, and a first 90 days plan.
By Sohel Siddique, who builds Lydoh and VoiceboxMD. Updated November 4, 2026.
The short answer
AI earns its keep in a vet clinic on the phones, the medical record and client reminders. It is not ready to read your radiographs on its own. An AI answering service can take the overflow and after-hours calls, capture requests for your staff, and send every possible emergency to an emergency animal hospital without giving medical advice. An AI scribe can draft the SOAP note for the veterinarian to sign. Reminder and text-back tools are the lowest risk of all.
Radiology AI is where caution belongs. The FDA does not require any premarket review of devices for animals (FDA), and the American College of Veterinary Radiology and its European counterpart said in 2025 that no commercially available AI imaging product meets their standards for transparency, validation and safety (ACVR and ECVDI, JAVMA).
Most of the profession is already using something. In a survey published in the American Journal of Veterinary Research, 39.2% of 3,968 veterinary professionals used AI at work in early 2024 (AJVR). The 2026 follow-up by the same groups, Digitail and AAHA, put it at 83.7% of 1,730 professionals in the US and Canada, with clinical documentation the most common use (Digitail and AAHA, 2026). Both are self-selected online surveys run with a practice software company, so treat the numbers as a direction, not a census.
Sources checked November 4, 2026. General information, not legal or veterinary advice.
Use by use
Our verdict for a one to four veterinarian clinic, with the risk that decides it.
| Use | What it does today | The risk that matters | Our verdict |
|---|---|---|---|
| Phones and CSR overflow | Answers when every line is busy, at lunch and after close; takes appointment, refill and boarding requests with the owner's and the pet's name for staff to confirm. | A caller who needed a person and didn't reach one. Keep a transfer to the desk during hours and measure what the AI hands back. | Start now |
| After-hours call routing | Sends any possible emergency to the nearest emergency animal hospital, and urgent concerns to the on-call vet if the clinic has one. | An AI that assesses symptoms is practicing medicine without a VCPR. It must route, never advise (AVMA telehealth policy). | Start now |
| Reminders and client texting | Vaccine, recheck and appointment reminders, confirmations, missed-call text-backs. | Low. Keep texts free of medical detail and honor opt-outs. | Start now |
| Medical records and AI scribes | Drafts the SOAP note from the exam room conversation or dictation for the veterinarian to edit and sign. | Recordings of clients and staff held by a vendor. Get the retention and secondary-use terms in writing (AVMA News). | Start, with rules |
| Image handling (rotate, crop, calibrate, hanging protocols) | Prepares radiographs automatically so the technician and the vet spend less time on setup. | Low; it doesn't interpret anything (AVMA News). | Start, with rules |
| Radiograph, lab and cytology interpretation | Flags findings or drafts a report for a study. | No FDA premarket review for animal devices, and ACVR and ECVDI say no current imaging product meets their standards (FDA; ACVR/ECVDI). | Second look only |
Disclosure: we make Lydoh, which covers the first three rows (phones, after-hours routing and texting). Weigh our verdicts on those rows knowing that.
Phones and after hours
A vet clinic's phone carries two very different calls: an owner who wants to book a vaccine visit, and a frightened owner whose dog just ate something at 10 PM. AI handles the first kind well: it can answer every call, take the request with the owner's name and the pet's name and species, and leave it for staff to confirm in the morning.
The second kind is where the line sits. Deciding whether a pet's symptom is an emergency is a clinical judgment. The AVMA opposes telehealth offered directly to the public to diagnose, prescribe or treat without a veterinarian-client-patient relationship (AVMA policy). An AI phone has no VCPR with anyone. So the safe design is routing, not triage: any caller who describes a possible emergency hears the name and number of the nearest emergency animal hospital, and urgent concerns go to your on-call veterinarian if you have one. Nothing more clinical than that.
Two free tools help whether or not you buy anything: the after-hours greeting generator writes a voicemail script with your emergency animal hospital in it, and the veterinary answering service page shows how we handle those calls, with a sample after-hours conversation.
Medical records
Documentation is where veterinary AI has spread fastest. In the 2026 Digitail and AAHA survey, AI scribes and AI-generated SOAP notes led all uses, reported by 71.2% of respondents in general practice (Digitail and AAHA, 2026). In the 2024 survey, record-keeping and administrative work tied with imaging as the top use, at 39.0% each of AI users (AJVR).
A scribe puts a microphone in the exam room, so the questions are about the recording. At the AVMA's 2025 business forum, Dr. Petra Harms warned that "we have to be sure that data isn't being used for something else, like [being] sold to a drug company or mined to monitor veterinarian performance" (AVMA News). Before you turn one on, get in writing who keeps the audio and the transcript, for how long, and whether the vendor may use them to train models or for anything else. Tell clients the visit is recorded, and check your state's rules on recording consent. The veterinarian reads and signs every note; a draft is not a record.
Disclosure: our sister product VoiceboxMD writes clinical notes and has a veterinary specialty setting (voiceboxmd.com). Ask it the same questions.
Radiology AI
Human radiology AI goes through FDA review before it is sold. Veterinary radiology AI does not. The FDA says it "does not require submission of a 510(k), PMA, or any pre-market approval for devices intended for animal use." It can act against misbranded or adulterated animal devices, but making sure a device is safe, effective and properly labeled is the manufacturer's responsibility, and animal-only device makers are exempt from post-marketing reporting (FDA, How FDA Regulates Animal Devices). AVMA News put it plainly: "unlike human medicine, no premarket screening of AI tools is required for veterinary medicine" (AVMA News).
The specialists say current products aren't there yet. The ACVR and ECVDI position statement says AI tools that don't handle patient data securely, explain their methods and training data, and allow monitoring after rollout should not be used, and that "there is currently no commercially available product for diagnostic imaging that meets these standards." It asks for a qualified veterinarian in the loop every time, and recommends telling owners when AI is used in a diagnostic role and offering an alternative if they decline. On liability, it says responsibility is "yet to be determined" but likely to rest at least partly with veterinarians, not only the developer (ACVR and ECVDI, JAVMA 2025).
What that means for a small clinic: AI that rotates, crops and calibrates images is a convenience with little downside. AI that reads the study is a second opinion at most, from a vendor you should ask for published, independent validation on the species and views you image. If a report would change a treatment plan or a euthanasia conversation, a veterinarian, ideally a radiologist, makes the call.
Clients and staffing
Reminders are the safest AI win, and most clinics already have the basic version. Among general and mobile practice respondents in the 2026 survey, 61.1% sent automated reminders on fixed rules such as time since the last visit, and 11% had a system that suggests the next step for each animal (Digitail and AAHA, 2026). If you don't have the first kind yet, start there; our appointment reminder text templates include veterinary versions you can copy.
On staffing, be precise about the shortage. An AVMA-commissioned analysis by Brakke Consulting found that graduates of existing US veterinary colleges are likely enough to meet demand to 2035, and that its projections "do not justify a conclusion of overall excess capacity or capacity shortage by 2030 or 2035" (AVMA News). The daily pressure most small clinics feel is at the front desk: phones, callbacks, reminders and records. That is where AI fits. It is also where people worry most: fear of losing their job to AI was 37.8% among receptionists and CSRs in the 2026 survey, against 20% overall (Digitail and AAHA, 2026). Say out loud what the tool is for before you install it.
Client confidentiality
HIPAA protects identifiable health information about a person (45 CFR 160.103), so a pet's medical record is outside it and a veterinary AI vendor has no HIPAA duty to sign a Business Associate Agreement. That does not make client data fair game. The AVMA Principles of Veterinary Medical Ethics say "the information within veterinary medical records is confidential. It must not be released except as required or allowed by law, or by client consent," and that a veterinarian "must protect the personal privacy of clients" (AVMA PVME, section 7). State veterinary practice laws add their own record rules.
In practice: ask every AI vendor for a written confidentiality and data processing agreement in place of a BAA, and keep client names, phone numbers, payment details and records out of personal AI accounts. Our free AI policy template and vendor checklist has veterinary wording throughout. For which ChatGPT, Copilot, Gemini and Claude plans come with business contract terms, and for any human health information you or your staff handle, see Is ChatGPT HIPAA compliant?
Our stance
A one to four veterinarian clinic should spend its first AI dollars on the phones and the medical record, and none on diagnostic AI as a primary reader, until a commercial imaging product publishes independent validation that the ACVR and ECVDI accept. Our reasons: the front-office tools can be checked by anyone in the clinic (read the call summary, read the note), and their failures are visible the same day. A radiology AI's errors are only visible to someone who could have read the study without it, and no regulator has checked its accuracy.
What would change our mind: the ACVR and ECVDI saying a commercial imaging product meets their standard; the FDA or state veterinary boards setting premarket rules for veterinary AI; or peer-reviewed studies showing a general practice reading radiographs more accurately with a specific product than without it. If any of those happens, we'll update this page.
And a second one you can test in your own clinic: the 2026 survey found close to half of respondents had no AI plan and no one responsible for it, and nearly a third had no usage guidelines, training or tool review at all (Digitail and AAHA, 2026). We think a clinic that writes a one-page policy and takes a baseline before buying anything will get more from the same tools than one that doesn't. The plan below is built so you can find out.
A plan
One owner, one tool at a time, and a baseline you wrote down before you started.
Days 1 to 30
Measure: A baseline you wrote down before any new tool went in.
Days 31 to 60
Measure: Errors found in the weekly sample, and what the AI handed to staff.
Days 61 to 90
Measure: Missed calls, open records and staff follow-ups against the baseline, not the vendor's dashboard alone.
The policy and vendor questions are in our AI policy template. For how this played out in a human medical practice, including what went wrong in week one, see our case study.
Disclosure
We make Lydoh, an AI receptionist that answers a clinic's calls, takes requests with the owner's and pet's name, sends pet emergencies to the nearest emergency animal hospital, can reach an on-call veterinarian, and handles reminders and client texting. It never gives medical advice. Details are on the veterinary answering servicepage. Our sister product VoiceboxMD writes clinical notes. We don't make radiology or diagnostic AI. Everything on this page is meant to be useful whether or not you buy from us; ask us the same vendor questions you would ask anyone.
More in this series: AI for doctors, AI for dentists and AI in healthcare examples.
FAQ
Mostly for paperwork and communication, less for diagnosis. In the 2026 Digitail and AAHA survey of 1,730 veterinary professionals, clinical documentation (AI scribes and SOAP notes) was the most common use, followed by client communication tools; AI-assisted reading of radiographs, labs and cytology was less common. Phones and after-hours call routing, appointment reminders and image preprocessing are the other everyday uses.
In a Digitail and AAHA survey run in December 2023 and January 2024 and published in the American Journal of Veterinary Research, 39.2% of 3,968 veterinary professionals said they used AI tools at work. The same groups' 2026 follow-up of 1,730 professionals in the US and Canada reported 83.7%. Both are online surveys with self-selected respondents, run by a company that sells practice software, so read them as direction, not a census.
No veterinary device needs to be. The FDA says it does not require a 510(k), PMA or any premarket approval for devices intended for animal use. It can act against misbranded or adulterated animal devices, but safety, effectiveness and labeling are the manufacturer's responsibility. So a veterinary radiology AI has not passed the FDA review a human radiology AI would face. Ask the vendor for published, independent validation instead.
Not as the reader. The American College of Veterinary Radiology and the European College of Veterinary Diagnostic Imaging said in 2025 that no commercially available AI product for diagnostic imaging meets their standards for transparency, validation and safety, and that a qualified veterinarian must always be in the loop. AI that rotates, crops and positions images is low risk. If you use AI for a second look, the veterinarian makes the call, and the colleges recommend telling the owner.
No. HIPAA protects identifiable health information about a person, so animal medical records are outside it and a veterinary vendor has no HIPAA duty to sign a Business Associate Agreement. Client confidentiality still applies: the AVMA Principles of Veterinary Medical Ethics say veterinary medical records are confidential and must not be released except as required or allowed by law or with client consent, and state veterinary practice laws add their own rules.
Software that listens to the exam room conversation, or to the veterinarian's dictation, and drafts the medical record, often as a SOAP note, for the veterinarian to review and sign. It is the most common AI tool in general practice in the 2026 Digitail and AAHA survey. Before you turn one on, find out who keeps the recordings, for how long, and whether the vendor can use them for anything else, and tell clients the visit is being recorded.
It should not. Deciding whether a symptom is an emergency is a clinical judgment. The AVMA opposes telehealth offered to the public to diagnose or treat without a veterinarian-client-patient relationship. A safe AI phone tells any caller with a possible emergency to go to the nearest emergency animal hospital, and passes urgent concerns to the on-call veterinarian if the clinic has one, without assessing symptoms itself.
Not in the clinics we'd advise. In the 2026 Digitail and AAHA survey, fear of job displacement was highest among receptionists and CSRs (37.8%). Our view is that AI should take the overflow, the after-hours calls and the reminder texts, so the people at the desk handle the clients in the building and the calls that need judgment. A clinic that measures what the AI hands back to staff will see quickly that it still needs them.
Write a one-page AI policy (who may use which tools, and that no client or patient record goes into a personal AI account), then start with the phones or the medical record, whichever costs your team more time. Measure a baseline for two weeks first, so you can tell in 90 days whether it helped. Leave diagnostic AI for later.
Keep reading
Guides, a case study and checklists for using AI in a medical, dental or veterinary practice, safely.