24/7 Emergency & Referral Vet Mississauga, ON

Patient Name *

Approx Weight (kg) *

Breed *

Sex *

Age (Years) *

Colour *

I am the lawful owner or duly authorized agent for the owner of this pet; all other legal owners have been consulted and I/We consent to this procedure, which I understand will result in a humane euthanasia of my pet with the help of a veterinarian at this practice. *

To the best of my knowledge, my pet has not bitten any person or animal within the past 10 days. *

Do you wish to be present at the time of euthansia? *

Yes, I wish to be present
No, I do not wish to be present

We know this is a difficult time. Our team will guide you through each step and help you choose options that feel right for you and your family.

Euthanasia Consent Form

OWNER INFORMATION

PATIENT INFORMATION

CHOOSE YOUR AFTERCARE & MEMORIAL OPTIONS