Euthanasia Consent Form

Thank you for choosing Fraserview Veterinary Hospital. Please submit prior to your pet’s scheduled appointment. We are here for you.

Please submit prior to your pet’s scheduled appointment to ensure all your details are correct in our system. Forms must be submitted in English.

Date(Required)

Name(Required)

First Last

Has your address, phone number and/or email changes?(Required)

Yes

Address(Required)

Street Address City Province Postal Code

Phone(Required)

Email(Required)

Pet's Name(Required)

Breed(Required)

Sex(Required)

Age(Required)

Color/Markings(Required)

I request that this animal’s remains be cared for in the following manner:(Required)

Private cremation with return of ashes. I wish to have my pet individually cremated offsite.

Communal cremation with no return of ashes. My pet’s remains will not be returned to me.

Urn Selection

I would like a Paw Print(Required)

Yes

Paw Print card filled?

I have read and understand this consent.(Required)

Signature of Owner/Agent

Please type your name below(Required)

First Last

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Comments

This field is for validation purposes and should be left unchanged.