Palliative Care/Euthanasia
The following information is for pets who are nearing the end of their journey and need palliative care or home euthanasia.
Owner's Name
First Name
Last Name
Pet's name
Age
Breed
Weight of pet (approximate is fine)
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Has the client been declined VetPay or on a Centrelink payment?
Is the owner contributing towards the cost of euthanasia if so, how much?
Temperament of pet (eg. food motivated, calm, elderly or aggressive).
Will cremation occur through Paws to Remember or will owner organise home burial or a different company (at their own cost).
Personal information is handled as described in the APCS Privacy Policy available on our website.
Agree
Additional information about the pet or situation can be included here, including reason for euthanasia.
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