Euthanasia Consent Form

During this difficult time, we aim to make the process as gentle and seamless as possible. To help us prepare and honor your wishes, you may complete the necessary forms online from the comfort of your home, at a time that feels right for you.

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senior dog laying down on an orange couch

Compassionate Care When It Matters Most

We know how difficult this time can be. To ensure a peaceful and supportive experience, please complete this form before your scheduled euthanasia appointment.

Client Information

Name *

First

Last

Email *

Phone Number *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Patient Information

Pet's Name *

Species *

Breed *

Color: *

Age: *

Aftercare & Urn Selection

Cremation Preference *

Special Instructions or Comments

I, the undersigned, am at least 18 years old, and I am the owner / duly authorized agent for the owner of the animal described herein. I hereby consent to and order euthanasia (humane death) to be performed on this animal forever releasing said doctor, hospital, and all agents from any and all liability for performing said euthanasia. 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 to now dispose of the remains in accordance with hospital policy, releasing the hospital, doctor and agents from any and all liability for performing after-death care, with the following stipulations included: *

I verify that the above stated pet has not bitten any person or animal during the last fourteen (14) days and to the best of my knowledge has not been exposed to rabies. *

I agree

Signature *

Clear Signature

Date *

Phone

Here for You Every Step of the Way

If you have questions or need help with this form, please don’t hesitate to call us at (207) 696-5200. We’re here to offer kindness, clarity, and comfort during this emotional time.

If selecting private cremation:

Please select your preferred urn style from the options below. See photos and details here or in the PDF..

View our Private Cremation Urn Options

Euthanasia Consent Form

Compassionate Care When It Matters Most

Client Information

Patient Information

Aftercare & Urn Selection

Here for You Every Step of the Way

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