Euthanasia Consent Form

Please allow us to proceed with your pet’s care by completing our online consent form. We are here to support you during this emotional period.

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Euthanasia Consent Form

We recognize this is a challenging time and are here to help. Please fill out this form to ensure we can provide the best care for your pet. Thank you for trusting us during this important moment.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email *

Pet's Name *

Species *

Breed *

Color: *

Date of Birth *

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 *

Comment

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E-mail

Euthanasia Consent Form

Euthanasia Consent Form

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We proudly serve the pets of Camp Springs, MD, and the surrounding areas: