Euthanasia Consent Form

This field is for validation purposes and should be left unchanged.
Name(Required)
Address(Required)
Species(Required)
Sex(Required)

I do hereby certify that I am the owner or the duly authorized agent for the owner of the animal described above, that I do hereby give the doctors of Exotic Vet Care permission to euthanize and dispose of said animal in whatever humane manner the doctors of Exotic Vet Care, their agents, servants or representatives deem appropriate. I also release the doctors, Exotic Vet Care, their agents, servants and representative from any and all liability for so euthanizing and disposing of said animal.

Permission to Euthanize(Required)
Has this pet bitten any person or domestic animal during the last ten (10) days?(Required)
Has this pet been exposed to possible infection with rabies through a bite from another animal during the last ten (10) days, or is this pet currently under a rabies quarantine?(Required)
Please select one of the following for disposition of remains(Required)
Signature(Required)