Euthanasia Consent Form

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Fill Out Our Euthanasia Consent Form

Client Information

Name *

First

Last

Email *

Home Phone *

Mobile Phone *

Patient Information

Patient Name *

DOB *

Age

Breed *

Sex *

Color *

Consent *

I am the owner or duly authorized agent of the owner for the above-named animal, I here by consent to and request humane euthanasia for my pet by a veterinarian at this practice

pet’s to Age

Aftercare Preference: What would you like us to do with your pet’s remains? *

I wish the body to be returned to me / the owner
I request cremation and that the ashes be returned to me / the owner
I request cremation but do not want the ashes returned to me / the owner

Signature *

Clear Signature

Signature of Witness *

Clear Signature

Date *

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We proudly serve the pets of Eagle County Colorado and the surrounding areas, including Eagle, Gypsum, Wolcott, Edwards, Avon, Vail, Bond, and McCoy. We look forward to seeing you and your pet soon! To book an appointment, use the button below.

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