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Authorization to Perform Euthanasia

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    I, the undersigned, am the owner (or duly authorized agent for the owner) of the above named Pet. I hereby consent to and order euthanasia (humane death) to be performed on this animal, forever releasing the Green Prairie Animal Hospitals, P.C. - SanJose and its staff from any and all liability for performing said euthanasia.

    I, the undersigned, am the owner (or duly authorized agent for the owner) of the above named Pet. I hereby consent to and order euthanasia (humane death) to be performed on this animal, forever releasing the Green Prairie Animal Hospitals, P.C. - SanJose and its staff 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 and staff to take charge of my pet's remains in accordance with hospital policy, releasing the hospital, veterinarians, and agents from any and all liability for performing said after-death care, with the following stipulations included:

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    If I have not informed Green Prairie Animal Hospitals, P.C. - San Jose of our decision within 10 days, I authorize communal cremation.

    Learning the cause of death of your pet can be of great help in relieving the suffering of other pets, as well as contributing to our understanding of health and disease. Unless you request otherwise, a postmortem evaluation may be performed on your pet prior to cremation. Should we choose to do this, you will not be charged unless you wish to receive a report.

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