Euthanasia Authorization Form

I am the owner (or authorized agent of the owner) of the animal described above. I hereby order and give Springs Road Animal Hospital and its personnel complete authority to euthanize my pet in whatever humane manner they deem appropriate, and to dispose of the remains as specified below and in accordance with hospital policy. I hereby forever release Springs Road Animal Hospital and its personnel from any liability that may arise from euthanizing or disposing of my pet.

To the best of my knowledge my pet has not bitten any person or animal during the past fifteen (15) days, nor has my pet ever been exposed to rabies. I hereby grant permission for a postmortem study of my pet, if deemed necessary by the veterinarian. I request that my pet’s remains be cared for as follows:

I have carefully read, and fully understand, this consent. The fees associated with these services have been explained to me, and I agree to pay such fees in full at the time of service.