Humane Euthanasia Consent Form

I, the above named, am the owner (or duly authorized agent for the owner) of the animal described above. I hereby consent to, and order euthanasia (humane death) to be performed on this animal. I have discussed the reasons for euthanasia with a veterinarian or other agent and am satisfied that this is the appropriate course of action for this animal.

To the best of my knowledge, this animal has not bitten any person or animal in the last fifteen days and has not been exposed to rabies.

It is my desire to provide for my pet decent and humane after death care, complying with all legal requirements of the area. I authorize the attending veterinarian and staff to take care of my pet’s remains in accordance with hospital policy, releasing the hospital, veterinarian, and agents from any and all liability for performing said after death care, with the following stipulations included: