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  • Thank you for trusting Dr. Patrick with this important farewell.

    This form takes about 5 minutes to complete and helps us prepare a gentle, personalised experience for you, your family, and your beloved pet.

    A fee summary will be sent to you before any commitment is made but please reach out if you have any questions.

  • My Pet’s Details

  • My Pet’s Microchip (MC)*
  • Medical Background

  • Pet’s Diagnosis
  • My Pet’s Behaviour*
  • Vet Clinic

  • Appointment Preferences

    The Fees below are presented as a guide only, you will recieve a fee summary based on your choice of options prior to the booking.
  • Please select from the options below ❤*
  • Please note, costs above include Vet Attendance and Euthanasia Process. Travel and Pet Transfer where required are additional.

    Procedural Euthanasia is a brief appointment and generally does not allow time for grieving. We strongly recommend opting for the Perfect Googdbye for an unhurried process.

    For more information please see our website.

  • Aftercare

    The questions below will allow you to customise how your pets farewell takes place. This helps me prepare the setting that feels right for you, your family and your pet.. The Fees below are a guide only, I will send you a fee summary I based on your choice of options.
  • My Recommended Cremation and aftercare options*
  • For more information on Aftercare please see more from the providers:

    Ripple: https://rippleaquamation.com.au/
    Lawnswood: https://lawnswood.com.au/

    Please note: All cremation services are arranged directly with the crematorium. Cremation costs are separate and will be quoted by the selected cremation company.

  • Pet Transfer Options

    If needed after our appointment, I can transfer your pet to your chosen facility.
  • Transfer Options*
  • Preferred Appointment Day and Time

    I will contact you re an appointment time as close as possible to your requested time
  • Preferred Appointment Time*
  • If you are not able to find your ideal time, please fill in your day and time in this box.

    Dr Patrick will contact you to confirm your appointment time.

  • Your Details

  • Payment Preferences

    Pre-Payment is preferred and appreciated.
  • Submitting this form is non-binding. Your fee will be calculated based on your selections, and a fee summary will be sent for your approval.

    Fees are based on:

    1. The type of appointment and the day you choose.

    2. Travel to your home.

    3. Transfer of your pet to a cremation facility (if required).

  • Your Payment Preference*
  • Are You Claiming the Euthanasia Fees from Pet Insurance*
  • If this will not submit, please make sure all required fields * are completed. If anything is missing, it will appear in a red box, please complete it so I can process your form without delay.

  • Should be Empty: