(Euthanasia - the humane termination of life)
I, am the owner or duly authorized agent of the owner for the above-named animal, I here by consent to and request humane euthanasia for my pet by a veterinarian at this practice.
I wish the body to be returned to me / the ownerI request cremation and that the ashes be returned to me / the ownerI request cremation but do not want the ashes returned to me / the owner
Please sign here:
Doctor's signature: (to be signed later)
Witness name: (to be filled in later)
Practice staff member name: (to be filled in later)
Today's date:
By submitting this form, you agree to be contacted via the info given through email, phone call, or text message
