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Euthanasia Consent Form

Making difficult decisions is never easy. If you are facing the heart-wrenching decision of euthanasia for your beloved pet, we are here to support you every step of the way. Please complete our Euthanasia Consent Form to ensure we handle everything with the care and respect your pet deserves.

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Euthanasia Consent Form

Please fill out this form with as much detail as possible so we can proceed according to your wishes. If this is an emergency, please call us at (918) 653-2190 for immediate assistance.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email *

Pet's Name *

Species *

Breed *

Color: *

Age: *

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

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At Heavener Animal Clinic, we understand that this is a difficult time, and our compassionate team is here to offer you support. We provide the highest level of care for your pet while keeping the process as peaceful and dignified as possible. Request an appointment for your pet using our online system, or download our app to stay up to date on your pet’s health.

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Euthanasia Consent Form

Euthanasia Consent Form

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