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Western Skies Veterinary - In Home Pet Euthanasia|Euthanasia Consent

Euthanasia Consent and Body Care Instructions

We are so sorry you are facing this sad decision. Please fill in the following consent form prior to our visit. If you have questions, don’t hesitate to give us a call at 970-388-1995.

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Owner's Name
Address
Mailing Address (if different than above)
Sex
I certify that I am the owner or authorized agent of the owner, for the above-named animal. In being the owner/agent for this animal, I do hereby give Western Skies End-of-Life Veterinary Care full and complete authority to perform euthanasia services. Arrangements for aftercare will be based on the wishes of the owner/agent and documented below. I hereby forever release and hold harmless Western Skies End-of-Life Veterinary Care and any authorized agents, staff, or representatives from any and all liability for euthanasia and aftercare of said animal.
I release the above-named animal to Western Skies End-of-Life Veterinary Care for:
For private cremations, you may pick up your pet's ashes from the crematorim. For additional information regarding aftercare, click here

Western Skies Veterinary - In Home Pet Euthanasia | Euthanasia Consent

Would you like to receive a PawPals paw print of your pet. (No charge)
Would you like a digital paw print of your pet’s paw? ($30)
Would you like a clipping of fur (no charge)?
Your beloved pet may be honored in a memorial post. Do you give us permission to share your pet’s name and your last initial on our public memorial webpage?
Would you like to review options for Memorial Keepsakes for purchase?

Optional Memorial

This section is optional. If you'd like a specific urn, please fill out the questions below.
Please note: This is only if you plan on going through with Lasting Paws or Guardian Pet Aquamation.

Which complimentary urn would you like? If no urn is selected, ashes will be returned in a cedar urn.
Please note: We can engrave up to 2 lines on your urn
To the best of my knowledge, the information I have provided on this form is true. I do also certify that this animal has not bitten, seriously scratched, or exposed anyone to rabies within the past 10 days. I understand that my wishes will be immediately carried out upon signing this agreement. Fees for these services have been explained to me and will be collected at time of service.