AL, MS, LA, AR, TN and CO

CALL TODAY 504-782-2203 or 504-258-5551


Prospective EMPLOYEE DVM Questionnaire

Complete the form below, then click submit.  We will contact you shortly.

Full Name  

Address   City, State, Zip  

E-mail address   Telephones: Cell Other

School and year of DVM degree In what state(s) are you licensed?

What are your areas of special interest in the practice of veterinary medicine?

Are you a member of your: State VMA District VMA AVMA

What, if any, are your geographic constraints?

What is your desired annual compensation? $ current annual compensation? $

What was your personal production last calendar year? $ this year-to-date? $

Are payments current on all of your
personal obligations/debts? state and federal income taxes?

What type of Practice do you prefer? (choose one)
Small Animal only
Equine only
Mixed Small Animal & Equine
Other (explain)

What size Practice do you prefer? (choose one)
Small, 2 Vet
Medium, 3-4 Vet
Large, multi-Vet
Other (explain)

Where do you prefer to practice? (choose one)
No Preference
Other (explain)

In 35 words or less, what are your personal philosophy and goals regarding your practice of veterinary medicine?


Please provide the name, address and contact information of a licensed veterinarian that may be contacted as a personal and professional reference:

Name Telephone

Address Email

How proficient are you in (choose one)

Small Animal Non-Surgical Procedures? very somewhat not

Small Animal Surgical Procedures? very somewhat not

Small Animal Orthopedics? very somewhat not

Large Animal Procedures? very somewhat not

How familiar are you with (choose one)

financial management? very somewhat not

personnel management? very somewhat not

inventory management? very somewhat not

Is there anything else that you would like for an EMPLOYER DVM to know about you?

By your electronic signature below, you agree as follows:

1. All information provided to me by DVM RECRUITERS® about the identity, location, operations, finances and other details of prospective Employer-DVMs shall be held strictly confidential, except as may be shared with my agents, representatives, and legal, financial or other advisors hired by me for assistance in evaluating said prospective Employer-DVMs. I agree not to disclose any such information to any other parties.

2. I assure compliance by my spouse (if any), agents, representatives, and legal, financial or other advisors with the requirements of this agreement.

3. I will not circumvent this agreement by entering directly into any oral or written offer, agreement or employment with any prospective Employer-DVM introduced to me or whose identity has been made known to me by DVM RECRUITERS®, without the specific knowledge and consent of DVM RECRUITERS®.

Enter your initials here              (as your electronic signature)

DVM RECRUITERS® is an affiliate of DVM CONSULTANTS®. Since 2008, DVM CONSULTANTS® has provided veterinary practice brokerage services, valuations, financing, business education, and advice and consultation to veterinarians. Active in five Southern states (AL, AR, LA, MS and TN) and in Colorado, DVM CONSULTANTS® has identified a need in the marketplace for a firm to provide for the recruitment and hiring of Associate DVMs.