Otto Review
Otto is an all-in-one veterinary platform for reminders, unlimited texting, forms, booking, payments, memberships, phones and an AI suite, priced from $350 a month, with a standalone AI Scribe from $49.
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The verdict
Otto, founded in 2015 as TeleVet and rebranded in 2023, bundles veterinary client communication into one price: unlimited two-way texting, reminders, follow-ups, lapsed client campaigns, refill requests, forms, check-in, direct booking, telemedicine, team chat and a conversation board, plus the AI Suite for SOAP notes, call recaps and suggested replies. Otto Pay adds text and chat to pay, deposits and PIMS-connected terminals, Otto Care adds membership plans, and Otto Phones adds integrated calling. It syncs with Cornerstone, Neo, AVImark, Pulse, ezyVet and ImproMed in under five minutes. Pricing runs from $350 to more than $1,000 a month locked for a year, with a standalone AI Scribe from $49. The catches are the price, the annual commitment and thin independent review coverage.
Otto at a glance
| Vendor | TeleVet, Inc. (d/b/a Otto) | Category | Veterinary client communication |
|---|---|---|---|
| Best for | busy practices that want one subscription for communication, payments and AI | Starting price | $350 to $1,000+/mo |
| Free trial | Yes | Free plan | No |
| User rating | 4.8/5 | Our score | 8.3/10 |
| Deployment | Cloud and mobile apps | Founded | 2015 |
| Headquarters | Austin, TX | Users | 10,000+ veterinary professionals |
See Otto in action
A quick look at the interface, so you know what you are getting before the trial.
What Otto does
The areas we lean on most in daily use, and how Otto handles each.
Otto Flow communications
Unlimited two-way texting, email campaigns, reminders, follow-ups and refill requests.
Forms, booking & check-in
Digital forms, website widget, direct booking and automated check-in.
Conversation board & team chat
Open messages, check-ins and requests side by side, plus internal chat and tasks.
AI Suite
AI SOAP notes, phone call recaps and suggested client replies, with PIMS writeback.
Otto Pay
Text to pay, chat to pay, saved cards, deposits and terminals connected to the PIMS.
Otto Care memberships
Custom membership and wellness plans with flexible credits.
Otto Phones
Integrated phone system alongside texting and payments.
Telemedicine
Telemedicine appointments, from Otto's roots as TeleVet.
How Otto works day to day
Otto is an all-in-one veterinary client communication and workflow platform that puts reminders, two-way texting, digital forms, online booking, payments, memberships, phones and AI scribing behind one subscription. It started in 2015 as TeleVet, a veterinary telemedicine company founded in Austin, Texas, by Steven Carter and Price Fallin, and rebranded as Otto in August 2023 alongside a $43 million Series B, reflecting its move beyond telemedicine. The company says more than 10,000 veterinary professionals use it, and its in-house veterinarians include Chief Veterinary Officer Dr. Jennifer Quammen.
Otto Flow is the core product. One monthly price includes unlimited two-way texting, email campaigns and templates, automatic service and appointment reminders, automated follow-up messaging, lapsed client automations, prescription refill requests, client surveys and reviews, customizable digital forms, a website widget, automated check-in, direct booking where your PIMS supports it, telemedicine appointments, photos and video in chat with multiple pet parents in one conversation, internal team chat and task management. A conversation board shows open messages, checked-in patients and appointment requests side by side, so the front desk can see the whole day at a glance. Otto says clinics reduce incoming calls by about a third; one manager tracked it and reported exactly that.
The AI layer is included with Flow. The Otto AI Suite records appointments and writes SOAP notes, transcribes and recaps phone calls for follow-up and training, and drafts suggested replies to client messages, with optional writeback to the PIMS. OttoPilot, the AI engine behind the platform, adds business insights and recommendations, and agentic confirmations automate appointment follow-up. For practices that only want notes, the standalone Otto AI Scribe starts at $49 a month with the first 21 days free, uses a vet-trained model that understands abbreviations, medications and shorthand, supports SOAP, narrative and bullet templates and runs on Apple and Android, with notes ready about a minute after the appointment.
Payments and memberships are where Otto goes further than most communication tools. Otto Pay covers text to pay, chat to pay, saved cards, digital payments, pre-appointment deposits and terminals connected to your PIMS, with payments written back to the record. Otto Care lets you build customized membership and wellness plans with flexible credits, and Otto cites up to 55 percent more visits from plan members. Otto Phones adds an integrated phone system, so calls, texts and payments sit in one place.
Integration is deep with the major systems. Otto lists Cornerstone, IDEXX Neo, AVImark, Covetrus Pulse and eVetPractice, ezyVet and ImproMed, and claims sync times of under five minutes, so appointments, patients, notes, forms and payments stay current. Onboarding is run by implementation specialists who have worked in practice, and each clinic gets a dedicated customer success manager after launch.
Otto pricing is published as a range rather than a rate card: one communications platform price runs from $350 to more than $1,000 a month, locked in for a year, with special pricing and discounts for many clinics. That price includes the full Flow feature set and the AI Suite with no upgrade-to-unlock tiers or overage fees, while Otto Pay processing, Otto Care and Otto Phones are separate products. The standalone AI Scribe Solo plan starts at $49 a month.
The trade-offs are cost and commitment. At $350 a month and up, Otto is more expensive than modular tools such as VitusVet, the annual price lock means a year-long commitment, and direct booking depends on what your PIMS supports. Independent review coverage is thin on Capterra, so ask for references; VetSoftwareHub lists Otto at 4.8 out of 5. Competitors, including IDEXX, also argue that some workflows still require toggling between Otto and the PIMS, so test your busiest tasks in the demo.
If Otto is not the right fit, the closest Otto alternatives are PetDesk for vet-only communication with the widest PIMS support, VitusVet for modular reminders and payments, IDEXX Vello for ezyVet, Neo and Cornerstone practices, Weave for phones, texting and reviews, and Mango Voice if you mainly need a phone system with an AI receptionist. The verdict: Otto is the most complete single subscription for veterinary client communication, payments, memberships and AI, and the best fit for busy practices that want to replace several tools with one platform and one price.
Otto pros and cons
Pros
- One price covers texting, reminders, forms, booking and the AI Suite
- AI SOAP notes, call recaps and suggested replies included with Flow
- Otto Pay: text to pay, deposits and PIMS-connected terminals
- Otto Care membership plans and Otto Phones on the same platform
- PIMS sync in under five minutes with Cornerstone, Neo, AVImark, Pulse, ezyVet, ImproMed
- Standalone AI Scribe from $49 a month with 21 days free
Cons
- Platform price starts at $350 a month and can pass $1,000
- Price is locked for a year, so it is an annual commitment
- Direct booking depends on your PIMS capabilities
- Thin independent review coverage on Capterra
- Payments, memberships and phones are separate products
Who should use Otto, and who should skip it
A great fit if you
- You want to replace several communication tools with one
- You want payments and memberships tied to client messaging
- You run Cornerstone, Neo, AVImark, Pulse, ezyVet or ImproMed
- You want AI notes without a separate scribe subscription
- You run a busy multi-doctor practice
Look elsewhere if you
- You want the lowest monthly cost (compare VitusVet)
- You want month-to-month terms (compare PetDesk)
- You only need an AI scribe (try the $49 Otto AI Scribe or Scribenote)
- Your PIMS is not on the integration list
Is Otto right for your practice?
Here is how Otto fits each type of practice, and what to check for yours.
Otto for General practice
Texting, reminders and forms cut calls by about a third.
Otto for Multi-doctor clinics
The conversation board and team chat keep the front desk coordinated.
Otto for Wellness-focused practices
Otto Care membership plans drive repeat visits.
Otto for Telemedicine
Virtual appointments from the platform's TeleVet roots.
Otto scorecard
How Otto scored across our rubric. Every tool is measured on the same areas.
Otto pricing and plans
Real starting prices, dated and re-checked each pass. Otto publishes a price range rather than fixed tiers: the communications platform costs from $350 to more than $1,000 a month depending on the clinic, locked in for a year, and many clinics qualify for special pricing and discounts. That includes all Flow features and the AI Suite with no overage fees. The standalone Otto AI Scribe Solo starts at $49 a month with 21 days free, while Otto Pay, Otto Care and Otto Phones are separate products.
Otto integrations
Tools Otto connects with out of the box, so it fits the stack you already run.
Support, training and deployment
How you can reach the Otto team, how they onboard you, and where it runs.
Support
- Dedicated customer success manager
- Phone and email support
- Clinic success team
Training
- Live onboarding and training
- On-demand webinars
- Free RACE-approved CE
Deployment
- Cloud, Web-Based
- iOS and Android apps
- Payment terminals and phones
Typical customers
- General practices
- Multi-doctor clinics
- Groups
- Telemedicine
Otto alternatives
If Otto is not the fit, these are the closest tools we rank, in order.
OttoHow to test Otto before you commit
Every tool demos well. These are the checks that actually tell you whether Otto fits your practice, while the free trial is still running.
Run a real appointment end to end
- Use your own templates and one of your busiest appointment or session types
- Test it on the devices your staff actually use, not a demo laptop
- Move the result into the system you already use and time every step
- Add a second user and watch how the per-seat price moves
Watch for the catch
- Usage caps, credits or add-on fees that only show up on the invoice
- Features quietly locked to a higher tier than the one you tried
- Onboarding or data import sold as a paid add-on
- How hard it is to export your data if you decide to leave
Otto FAQ
What is Otto for veterinarians?
Otto is an all-in-one veterinary client communication and workflow platform. It combines two-way texting, reminders, digital forms, online booking, payments, membership plans, phones and an AI suite for SOAP notes and call recaps, integrated with your PIMS.
How much does Otto cost?
Otto's communications platform costs from $350 to more than $1,000 a month depending on the clinic, locked in for a year, and includes all Flow features and the AI Suite. The standalone Otto AI Scribe starts at $49 a month with 21 days free. Payments, memberships and phones are separate.
What is Otto AI?
Otto AI is the AI Suite included with Otto Flow: it records appointments into SOAP notes, transcribes and recaps phone calls, and suggests replies to client messages, powered by the OttoPilot engine. Otto also sells a standalone Otto AI Scribe from $49 a month.
Is Otto the same as TeleVet?
Yes. Otto was founded in 2015 as TeleVet, a veterinary telemedicine company in Austin, Texas, by Steven Carter and Price Fallin, and rebranded as Otto in August 2023 when it announced a $43 million Series B.
Which PIMS does Otto integrate with?
Otto integrates with IDEXX Cornerstone, IDEXX Neo, AVImark, Covetrus Pulse and eVetPractice, ezyVet and ImproMed, with sync times of under five minutes for appointments, patients, notes, forms and payments.
How do I log in to Otto?
Use the Login link on otto.vet and enter your email address or phone number; Otto sends a link that logs you in immediately, so there is no password to remember. The Otto mobile apps use the same login.
Does Otto handle payments?
Yes. Otto Pay supports text to pay, chat to pay, saved cards, digital payments, pre-appointment deposits and card terminals connected to your PIMS, with payments written back to the record.
Does Otto have a phone system?
Yes. Otto Phones is an integrated phone system that sits alongside texting and payments, and the AI Suite transcribes and recaps calls.
What are the best Otto alternatives?
The closest Otto alternatives are PetDesk, VitusVet, IDEXX Vello, Weave and Mango Voice, depending on whether you need wider PIMS support, lower cost, IDEXX-native integration or mainly phones.
Otto vs PetDesk: which is better?
Choose Otto if you want communication, payments, memberships and AI notes in one subscription. Choose PetDesk if you want wider PIMS support, a free pet parent app and month-to-month terms.
Otto reviews from real users
Verified reviews from people running Otto in the field. Every review is read by our team before it goes live, so this is honest signal, not spam.
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