Euthanasia Consent Form

Please complete this Euthanasia Consent Form just prior to entering Wilmot Veterinary Clinic

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I, the undersigned, hereby certify that I am of age of majority and:

I am the lawful owner of the pet described hereunder.
I hereby give my consent for euthanasia of my pet.
I hereby declare that my pet has not bitten anyone in the past 10 days.
I hereby give my consent for cremation of my pet after euthanasia.
I have been informed that an autopsy (post-mortem) of my pet can be performed at an additional cost.
I have chosen to accept or decline the autopsy of my pet.
I hereby indemnify the veterinarians and staff of this clinic against any claims of whatsoever nature flowing from or related to the euthanasia of the pet described hereunder. I have read and fully understand this form and declare I voluntarily provide my informed consent.

Details of my pet

Gender

Details of Owner

Name
Address

After Care Options

Please select an aftercare option

We offer you our deepest condolences during this difficult time.