• HAMILTON - NIAGARA VETERINARY MOBILE EUTHANASIA SERVICE: EUTHANASIA APPOINTMENT REQUEST AND AUTHORIZATION

    Euthanasia is ending the life of an individual animal in a way that minimizes or eliminates pain and distress.
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  • Euthanasia Authorization

    Please read, confirm, initial and date below.
  • I certify I am 18 years old or older and the owner or authorized agent of the owner, for the above named animal.

    I hearby request and fully authorize Hamilton - Niagara Veterinary Mobile Euthanasia Services to perform euthanasia for the above referenced patient. 

    I confirm that this animal has not bitten, seriously scratched or exposed any person or animal to Rabies within the previous fifteen (15) days.

    I understand that euthanasia will be performed in a humane and compassionate manner.

    Fees for these services has been explained to me and will be collected at the time of service or before if I prefer to take care of finances prior to the appointment.

    To the best of my knowledge, the information I have provided on this form is accurate and true.   

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