Please Note: We will be closing early at 2 PM on Tuesday, December 24th and will be closed on Wednesday, December 25th in observance of Christmas!

Euthanasia Consent Form

Please complete this form to allow us to assist you with your pet’s end-of-life care. We are here to support you throughout this process.

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Euthanasia Consent Form

Please fill out this form as completely and accurately as possible so we can better assist you.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email *

Pet's Name *

Species *

Breed *

Color: *

Age: *

I, the undersigned, am at least 18 years old, and I am the owner / duly authorized agent for the owner of the animal described herein. I hereby consent to and order euthanasia (humane death) to be performed on this animal forever releasing said veterinarian, hospital, and all agents from any and all liability for performing said euthanasia. It is my desire to provide for my pet decent and humane after-death care, complying with all legal requirements of the area. I authorize the attending veterinarian to now dispose of the remains in accordance with hospital policy, releasing the hospital, veterinarian and agents from any and all liability for performing after-death care, with the following stipulations included: *

I verify that the above stated pet has not bitten any person or animal during the last fourteen (14) days and to the best of my knowledge has not been exposed to rabies. *

I agree

Signature *

Clear Signature

Date *

Phone

OPEN TUESDAY – FRIDAY 8AM – 6PM!

Euthanasia Consent Form

Euthanasia Consent Form

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