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ITAH - Euthanasia Release Form

Euthanasia  Release Form
By signing this release form, I authorize Indian Tree Animal Hospital to euthanize ("put to sleep") my animal, knowing this is an irreversible procedures.
1. I understand that I have the option of being present throughout the procedure. I can also choose to not be present, and be assured the a gentle, kind approach will be used. *This question is required.
Although euthanasia is typically a painless procedure, I realize that it may be difficult in an excited or stressed animal. A pre-euthanasia injection may be given prior to the procedure. This is included in the euthanasia fee.
2. I understand that a general cremation by Veterinary Support Services is the standard option whereby my pet's ashes are NOT returned. I can choose for an additional fee to have my pet cremated individually and to have the ashes returned to me.  *This question is required.
3. You may also request that a permanent clay impression be made of your pet's paw with your pet's name inscribed at the top. These will need to be taken home to be baked. *This question is required.
5. I certify that my pet has not bitten any person within the last ten days *This question is required.
Signature of
This question requires a valid date format of MM/DD/YYYY.