Euthanasia Consent Form

MM slash DD slash YYYY
I, the undersigned, do hereby certify that I am the owner (or duly authorized agent for the owner) of the animal described above.
I give the doctors and the agents at Mission Valley Veterinary Clinic the complete authority to euthanize the above described animal and forever release the said Doctor and the agents from all liability for euthanizing the said animal.
To the best of my knowledge and belief, this animal has not bitten any person during the previous fifteen (15) days, and has not been exposed to rabies.

Handle the payment before the procedure
I wish to have my pet's body handled in the following manner:(Required)
Laser Engraving
Laser Brass Plate
Optional Private Cremation choices (additional charge for each service):(Required)
A complimentary scattering of your pets ashes will be done if your pet’s remains have not been picked up within 6 months.

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