Compassion Euthanasia Authorization

I, the undersigned, am the owner or duly authorized agent of the owner of the animal described herein. I verify that said pet has not bitten any person during the last ten (10) days and, to the best of my knowledge, has not been exposed to rabies.

I hereby consent to and request humane euthanasia for my pet and release the doctor and staff from any and all claims for negligence arising from or connected with this life-ending procedure and the subsequent disposal of my pet’s remains.

It is my desire to provide decent and humane after-care for my deceased pet that complies with all state, provincial and local laws. I have been informed of all my options for disposal of the body and hereby authorize the attending veterinarian to dispose of the remains in accordance with hospital policy and via the option I have selected below:

AUTHORIZATION TO PERFORM EUTHANASIA

I hereby consent to and request humane euthanasia for my pet and release the doctor and staff from any and all claims for negligence arising from or connected with this life-ending procedure and the subsequent disposal of my pet’s remains.

I, the undersigned, am the owner or duly authorized agent of the owner of the animal described herein. I verify that said pet has not bitten any person during the last ten (10) days and, to the best of my knowledge, has not been exposed to rabies.

It is my desire to provide decent and humane after-care for my deceased pet that complies with all state, provincial and local laws. I have been informed of all my options for disposal of the body and hereby authorize the attending veterinarian to dispose of the remains in accordance with hospital policy and via the option I have selected below: