Euthanasia Consent Form

When you’re ready, please complete the euthanasia consent form ahead of your appointment.

Compassionate Care in Your Pet’s Final Moments

Making the decision to say goodbye is incredibly difficult. Completing this Euthanasia Consent Form allows us to ensure a smooth and peaceful process, so you can focus on being present with your pet. Our team is here to provide support, comfort, and dignity every step of the way. If you need guidance, we’re just a phone call away.

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 doctor, 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, doctor 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 *

Website

Euthanasia Consent Form

Compassionate Care in Your Pet’s Final Moments

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