Animal Euthanasia Consent Form
Please review and sign digitally to give your consent for your animal's Services.
Client Full Name
*
First Name
Last Name
Animal Name
*
Species
Please Select
Canine
Feline
Date of Consent
*
-
Month
-
Day
Year
Date
Euthanasia Authorization
*
I do hereby certify that l am the owner (or duly authorized agent for the owner) of the pet described above. In being the owner/agent for this animal, I do give Angel Wings In Home Pet Euthanasia, A Veterinary Corporation full and complete authority to perform euthanasia services for the said pet. I also certify that the said pet has not bitten any person or animal during the last ten (10) days, and to the best of my knowledge has not been exposed to rabies. I do hereby release Angel Wings In Home Pet Euthanasia, A Veterinary Corporation from any and all liability for so euthanizing the said pet. Arrangements for aftercare will be based on the wishes of the owner/agent and documented below.
Client Signature
*
Aftercare Requested
*
No cremation - I choose to retain my pet for home burial
No cremation - I choose to set up cremation myself
Communal Cremation with no ashes returned - Angel Wings In Home Pet Euthanasia will transport your pet for cremation
Private Cremation with ashes returned - Angel Wings In Home Pet Euthanasia will transport your pet for cremation
Client Signature
*
Submit Consent
Submit Consent
Should be Empty: