Euthanasia Consent Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Great Falls Equine and Dr. Vassar extend sincere sympathy to you as you make this difficult decision for your animal. Please read the statements below carefully.

I am the legal owner or agent of the animal listed below and the responsible party in making decisions regarding the care of this animal. *

By checking this box I agree to the above statement and this serves as my signature.

Required

I consent to the procedure of euthanasia and acknowledge that I am choosing euthanasia regardless of my animal’s medical status. *

By checking this box I agree to the above statement and this serves as my signature.

Required

I acknowledge that I am responsible for the safe and legal disposal of the animal’s remains Initial considering that the animal was humanely euthanized with injectable barbiturates which can pose a threat to the environment and/or animals that may come in contact with the remains *

By checking this box I agree to the above statement and this serves as my signature.

Required

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms