Please understand that euthanasia will be performed in a humane and caring manner.
I, hereby request and authorize euthanasia for .
I am fully authorized to consent to and grant approval for this procedure.
Has this animal bitten any person or animal within the previous ten (10) days? Please select... Yes No
Options include: *PLEASE SELECT ONE*
I would like Please select... 1 2 3 4 5 7 7 8 9 10 clay paw prints*. (available for private cremation only)
I would like Please select... 1 2 3 4 5 7 7 8 9 10 ink paw prints*. (available for private and group - group cremations direct shipping to client only)
*Paw print(s) are available for an additional charge. All paw prints are processed and completed by Final Gift.
All ashes/clay paw prints will be mailed. Please initial to confirm address
Signature is now required upon delivery. Client waives signature requirement by initialing here
*If you should need time to decide on your pet’s final arrangements, Tufts VETS will hold your pet for 48 hours. There will be a fee of $30.00 which will be reversed upon confirmation of final arrangements. If we do not hear from you, we will make every attempt to contact you. However, if we cannot reach you, your pet will be released for a group cremation (with Final Gift Pet Cemetery), and you will be invoiced for the service.
Signature of Owner Agent
Date
Client Name
Patient Name
Address
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State
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Questions or Comments
