Newton Falls, OH

Euthanasia Consent Form

Save time during your next appointment. Complete your euthanasia consent form online from any device at any time before your visit.

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Online Forms

Euthanasia Consent Form

Newton Falls Animal Hospital offers our patient forms online so you can complete them before
you come in for your appointment.

Name *

First

Last

Pet's Name *

I, the undersigned, am the owner (or duly authorized agent for the owner) of * Forms. I hereby consent to and order euthanasia (humane death) to be performed on this animal, forever releasing Newton Falls Animal Hospital and its staff from any and all liability for performing said euthanasia. I certify that this pet has been in my custody and under my supervision and that, to the best of my knowledge, has not bitten any person or animal within the past 10 days.

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 charge of my pet's remains in accordance with hospital policy, releasing the hospital, veterinarians, and agents from any and all liability for performing said after-death care, with the following stipulations included:

If I have not informed Newton Falls Animal Hospital of our decision within 10 days, I authorize communal cremation. *

I authorize

Learning the cause of death of your pet can be of great help in relieving the suffering of other pets, as well as contributing to our understanding of health and disease. Unless you request otherwise, a postmortem evaluation may be performed on your pet prior to cremation. Should we choose to do this, you will not be charged unless you wish to receive a report *

I DO NOT authorize a postmortem evaluation.

Date *

Name

Euthanasia Consent Form

Online Forms

Euthanasia Consent Form

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