This form is for families who have questions about our services, but are not ready to schedule an appointment. If your inquiry is about current availability only, please fill out the schedule form instead of this one. Please review the information listed on the website first as many questions can be answered there. Please fill out the following information. Please do not inquire whether we will travel outside of our service area- cities we serve are listed below and we do not travel outside of these cities (your form will not submit).
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Street Address (number and street only)
Select your City
*
Please Select
Addison
Allen
Anna
Balch Springs
Blue Ridge
Caddo Mills
Carrollton
Celina (east of DNT only)
Dallas
Denison
Fairview
Farmers Branch
Farmersville
Fate
Forney
Frisco
Garland
Heath
Irving
Josephine
Lavon
Lewisville (Castle Hill area only)
Little Elm (Frisco side only)
Lowry Crossing
Lucas
McKinney
Melissa
Mesquite
McClendon Chisholm
Murphy
Nevada
New Hope
Oak Cliff (north of Loop 12 only)
Parker
Plano
Princeton
Prosper (east of DNT only)
Richardson
Rockwall
Rowlett
Royse City
Sachse
Sherman
Sunnyvale
The Colony
Van Alstyne
Wylie
Other- city not served if not listed
Zip Code
*
Email
*
example@example.com
Name of your pet
*
What type of pet do you have?
*
Dog
Cat
Other
What is the gender of your pet?
*
Male
Female
What is your pet's approximate weight?
*
If your pet is a specific breed, please list here.
What is your pet's approximate age?
Please let us know the main symptoms or disease(s) for your pet. (i.e. kidney failure, mobility issues, dementia, cancer- what type our source).
Please let us know what questions you have for us. Please note that our website has most information listed about cost, travel fees, service areas, and flow of the home visit.
*
Which of our services are you interested in?
*
Home euthanasia only, no aftercare will be needed
Home euthanasia with communal cremation, no ashes returned
Home euthanasia with private cremation, ashes returned
Thank you for your inquiry. Dr. Henderson or Dr. Heinemann will contact you at the phone number provided when she is safely able to between home visits and driving. Initial contact may be a text message and a phone call can be arranged if needed. Please check your unknown number text folder if you have not received a message by the end of the day. If this form is received after business hours, she will reply the following morning.
Submit
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