Euthanasia Inquiry Tender Transitions

The home visit euthanasia fee includes the following:

Pain medicine and sedation tailored to your pet's comfort level and condition
Euthanasia medication
All supplies to help your pet transition as peacefully as possible
Keepsake pawprint memorial with your pet's name (if desired)
Lock of fur (if desired)
Transportation of your pet's body for cremation arrangements (if desired)
Courtesy notification to your veterinarian

Cost of Services

Prices start at $340 and up based on size of pet, address location, weekday/weekend/afterhours/holidays, and aftercare option chosen.

Name*

First NameLast Name

Primary Phone Number*

Area CodePhone Number

Alternate Phone Number

Area CodePhone Number

Email*

Confirmation EmailPlease confirm your email.

Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

If your home is located in a neighborhood, what is the name?

Is your neighborhood or home gated? If yes, is there a gate code?*

NoYes; The gate will be open, or auto open upon driving up to the gate.Yes; The gate requires a code. I will provide a code upon booking.

Gate Code:

Are there special instructions that may help me find your home? (Corner house, unique mailbox or car type/color in driveway, etc.) Is GPS accurate? By default, I use Waze/Google directions.

Where at your home would you like the veterinarian to park? (driveway at garage, driveway by front door, parking pad, street by mailbox, etc)

If you opt for cremation services, please consider requested parking location based both on the weather forecast and the easiest maneuverable route out of the home via a basket or stretcher (pending pet size) to the veterinarian's vehicle.

Who else will be present or involved during the appointment? Please list the names of any family members, children, friends, or other pets who may be present.

If you have a young child in the home, please note ages if you would like to discuss options for involving them during the appointment (assisting children in making their own keepsakes; if they will be present for the first half of the appt or for the entire appt). If your children will not be present, please note so I can add additional keepsakes if desired.

Preferred appointment date. Please note 24 hours notice is requested, as the veterinarian will not be able to respond to same day inquiries while assisting others and on the road. Appointment times will be discussed pending availability. If you are unsure of an exact date, please choose your best estimate - the date can be adjusted if needed. *

MonthDayYear

Tender Transitions does not provide emergency services, and appointments must be scheduled and pre-approved. Although the veterinarian will try to accommodate same day appointments, they are not guaranteed and at least 24 hours notice is requested. Inquiries made after 6 pm will be called or emailed the next business day. Additional fee for evenings / weekends / holiday appointments.

Preferred Initial Contact Method*

For cost estimate of selected services.

Pet's Name*

First NameLast Name

Species*

Sex*

Age*

Breed*

Color*

Weight (in lbs)*

Please try to be as accurate as possible, as medication dosages are based on weight.

Summarize a little about your pet's main problem(s) / reason for euthanasia. *

Please describe your pet's temperament or behavior towards strangers. Has your pet ever needed anxiety or sedation medications prior to vet visits?

Has your pet bitten a person in the last 15 days? *

If necessary, will someone in your home be able to safely restrain your pet for a brief sedation injection?

YesNo

Who is your pet's regular veterinary hospital, regular veterinarian, and specialist if you have one.

Do you have pet insurance? Euthanasia may be covered under your policy.

YesNo

How did you hear about Tender Transitions? You may chose more than one.

It is my desire to provide humane aftercare for my deceased pet that complies with all state, provincial, and local laws. I further authorize the attending veterinarian to have said animal's body cremated in accordance with the above policies via the option I have selected below, and I accept responsibility for the expense incurred.*

Private/Individual Cremation - Your pet's ashes are returned to you.Communal Cremation - Your pet's ashes are NOT returned to you.I would like cremation, but I am undecided on which option.Other - i.e. You will keep your pet's body for a home burial or have arranged for other aftercare options.

The private cremation option includes having your pet's ashes returned in a beautifully carved wooden urn with custom brass plate name engraving or having your pet's ashes returned in a blue scatter tube for easy dispersal of ashes. Return of ashes options:

I would like to have the crematory deliver my pet's ashes directly to my primary veterinarian, and be notified for pickup. Complimentary.I will pickup my pet's ashes directly from the crematory.I would like to have Tender Transitions hand deliver my pet's ashes to my home for an additional fee.I would like the crematory to ship my pet's ashes to me (via USPS with signature confirmation) for an additional fee.I am undecided on which option above to choose, but would like prices on shipping and private delivery of my urn.

For cremation services:

Small pets will be gently placed in a basket for transportation after the appointment concludes. Larger pets will be gently wrapped in a blanket and placed on a stretcher for transportation. If a stretcher is needed due to the pet's size or weight, an additional able-bodied person will need to be present at the appointment (either owner, friend, neighbor, etc plus the veterinarian) to help transport your pet to the veterinarian's vehicle for aftercare. For pets over 80 lbs, there will need to be two able-bodied persons (plus the veterinarian) provided by the client to help carry the stretcher. If you do not have anyone who can be present at the appointment to help transport, alternate arrangements for transport from your home to the veterinarian's vehicle can be made for an additional fee.

I understand additional help may be needed to transport my pet to the veterinarian's vehicle after the appointment based on my pet's weight and size. I am capable of carrying up to 40 lbs to assist my pet out of my home on a stretcher, or I will provide someone who can help instead. Likewise, if my pet is over 80 lbs, I will have two able-bodied persons who can each carry up to 40 lbs each to assist with transport. If other assistance is required, I will inform the veterinarian so other arrangements can be made to help transport my pet for cremation after the appointment.

I agree to the above statement and will provide the correct number of persons for the after appointment transport of my pet to the veterinarian's vehicle.I do not have anyone who can lift up to 40 lbs, and will need alternate arrangements to secure help for the after appointment transport of my pet to the veterinarian's vehicle.

Today's Date:

MonthDayYear

Time

:HourMinutesAM/PM Option

In-Home Euthanasia Inquiry

Client Information

Pet Information

Aftercare Options: