780-250-1700
2531 – 17th Street NW Edmonton, AB
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Euthanasia Consent Form
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*
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*
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*
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Consent
*
I, the undersigned, am the owner (or duly authorized agent for the owner) of the animal described above. I hereby consent to and order euthanasia (humane death) to be performed on this animal, forever releasing the Tamarack Veterinary Clinic and its staff from any and all liability for performing said euthanasia.
I do not consent to euthanasia to be performed
Consent
*
It is my desire to provide for my pet decent and humane after-death care, complying with all legal requirements of the area. I authorize the attending veterinarian and staff to take charge of my pet's remains in accordance with hospital policy, releasing the hospital, veterinarians, and agents from any and all liability for performing said after-death care, with the following stipulations included:
I do not authorize the attending veterinarian and staff to take charge of my pet's remains
PLEASE INDICATE YOUR DECISION FOR CARE OF REMAINS BY INITIALING BELOW:
*
Personal Disposition
Private Cremation (you will receive full remains of ONLY your pet - remains will be returned to Tamarack Veterinary Clinic for pickup by owner unless otherwise specified)
Communal Cremation (you will receive no remains back)
Please hold remains pending our decision. If I have not informed Tamarack Veterinary Clinic of our decision within 10 days, I authorize communal cremation.
Learning the cause of death of your pet can be of great help in relieving the suffering of other pets, as well as contributing to our understanding of health and disease. Unless you request otherwise, a postmortem evaluation may be performed on your pet prior to cremation. Should we choose to do this, you will not be charged unless you wish to receive a report.
*
I DO authorize a postmortem evaluation.
I DO NOT authorize a postmortem evaluation.
Signature
*
Date
*
Date Format: MM slash DD slash YYYY
Best phone number to contact you during the time of appointment
*
Home
Contact
New Clients
What to Expect
New Client Registration Form
Prescription/Food Refill Request
About Us
Team and Pet Bios
Location & Hours
Make an Appointment
Fear Free Clinic
Services
Medical Services
Surgical Services
Anesthesia and Patient Monitoring
Nutritional Counseling
Additional Services
Pet Health
Pet Health Library
Pet Health Checker
How-To Videos
News
Forms
Consent Forms
General Anesthesia Consent
Euthanasia Consent Form
Echocardiogram – Drop Off Consent Form
Drop Off Consent Form – with sedation
Drop Off Consent Form
Overnight Hospitalization – Drop Off Consent Form
Blood Glucose Curve – Drop Off Consent Form
Dental Surgery Consent Form
Spay/Neuter Surgery Consent Form
Telemedicine Consent Form
Ultrasound Consent Form
Admission Forms
Canine Patient Admission Form
Feline Patient Admission Form
Recheck Exam Admission Form
Questionnaires
Diarrhea Questionnaire
Vomiting Questionnaire
Itching Questionnaire
Canine Cognitive Dysfunction Syndrome Assessment
Shop Online
Contact Us
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