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Euthanasia Form

Save time during your appointment by completing your required euthanasia form online from any device at any time before your visit.

A person and a dog on a path

Euthanasia Form

Please fill out this form as completely and accurately as possible before your visit.

Owner Information

Pet Information

I, the undersigned, do with this certify that I am the owner (or duly authorized agent for the owner) of the animal described above.

I give Dr. Sebastiao the complete authority to euthanize the above-described animal and forever release the said Doctor from all liability for euthanizing the said animal.

To the best of my knowledge and belief, this animal has not bitten any persons during the previous 15 days and has not been exposed to rabies.

This animal should be:

Clear Signature