Euthanasia Consent Form

Please call our clinic at (985) 542 – 6300 to schedule this appointment.

I understand all cremations are done through a third party, Agee’s Pet Crematorium. I hereby give permission to Animal Care Center to release the remains of my pet to Agee’s Pet Crematorium for cremation. I understand that if I have selected private cremation, the ashes will be returned to Animal Care Center within approximately 1 week and I will be notified. Furthermore, I understand that if I do not pickup the ashes within 30 days of being notified, (or attempt to notify) my pet’s ashes will be returned to Agee’s Pet Crematorium and will not be eligible for retrieval.

I, the undersigned, certify that I am the owner, or authorized agent of the owner of the animal listed above and I hereby consent to, and order euthanasia to be performed on the same for humane reasons, and in a humane manner.

I understand that euthanasia is the act of ending life of an animal in a painless way to prevent any unnecessary suffering.

I acknowledge that the veterinarian has met with me personally and discussed the euthanasia of my animal to the best of my knowledge and belief. The animal has not bitten any person or animal during the fifteen (15) days and has not been exposed to rabies.

I release the veterinarian, representatives and the clinic from any and all liability of said euthanasia.