Euthanasia Consent Form | Animal Medical Center of Mid-America

"*" indicates required fields

Name*

First Last

Pet's name*

I hereby make my wishes regarding the care of my pet's remains*

I have decided to take my pet's remains with me today, to seek private burial. I am solely responsible for following all municipal ordinances regarding the care of my pet's remains.

I have decided to allow my pet's remains to be cremated communally, and hereby acknowledge that I do not wish for the cremains to be returned to me.

I have decided that I would like to have my pet's remains cremated individually, and thus I have elected to use the services of a private crematory and to have my pet’s cremains returned to me once the cremation is carried out. I realize that a private crematory conducts this service, and while every attempt is made to ensure that this service is carried out in accordance to my wishes, any errors or omissions on the part of the crematory are solely the responsibility of the crematory. I agree to hold HSMO / AMCMA harmless should my wishes not be carried out.

Signature*

By typing your name here and submitting you agree to the terms above.

Comments

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