Euthanasia Appointment Request
Please fill out this form in its entirety. Dr. Webster will be in touch soon once it has been submitted.
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Can this phone number receive text messages?
*
Yes
No
Please choose the best time for us to contact you.
*
Morning
Afternoon
Evening
Anytime
Is this an Urgent Request?
*
Yes
No
Please list 2-3 possible day/times you would be available.
*
Pet Information
Pet's Name
*
Is your pet aggressive or do they have a bite history?
*
Yes
No
Sometimes
Please explain.
Aftercare Options
Please let us know what aftercare option you are considering to help us plan the best time for your appointment.
What aftercare option are you seeking?
*
Private Cremation $300
Communal Cremation $150
Owner to keep the body
If you have a larger pet (>50lbs), will someone be present who is able to help with carrying the body to the car?
Yes
No
Submit
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