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Euthanasia Release

Fields with an asterisk (*) will be required.

At Signature Veterinary Services, our team provides in-home euthanasia services to maximize pets’ comfort levels in their final moments. Saying goodbye at home promotes relaxation and tranquility for your pet and for your family as a whole. Specific details about the in-home euthanasia process can be found here

So as to make the process as easy as possible, we offer the option to handle consent and payment in advance of your appointment. Please complete this form to provide signed consent. If you also wish to pay in advance, please contact us to provide payment over the phone.

Client Information

Address

Phone

Pet Information

Veterinarian Information

Please enter the names of veterinary hospitals through which your pet has received care within the past 2 years

Additional Veterinarian Information

Release

In the event that said animal has bitten a person or animal or been exposed to rabies in the last 10 days, said animal must be tested for rabies after euthanasia and remains cannot be returned after rabies testing.

Aftercare

Additional fees may apply

I have read and understand this authorization. To the best of my knowledge, the information I have provided is true. I understand that my wishes may be carried out immediately upon signing this agreement. Fees for these services have been explained to me.

Thank You For Submitting Your Pet's Online Form

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