Consent for Euthanasia


Complete this form before your visit.

Pet Information

I, the undersigned, am at least 18 years old, and I am the owner / duly authorized agent for the owner of the animal described herein.

I hereby consent to and order euthanasia (humane death) to be performed on this animal forever releasing said doctor, hospital, and all agents from any and all liability for performing said euthanasia.