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ASK A VET™

Veterinary Euthanasia Consent Form

By Dr Duncan Houston

A free fillable euthanasia consent form for veterinary use. Type into the fields, sign on screen, then print it or download it as a PDF. Nothing you enter is stored or sent anywhere.

Clinic Details

Client's Details

Patient's Details

Euthanasia

Consent

I hereby request the humane euthanasia of the above animal. By signing this I confirm that I am the owner or an authorised agent of the owner and have read and understood this document. I also confirm that I am of or above the age of 18 years.
Owner / agent signature
Witness signature

Built by Dr Duncan Houston for ASK A VET™ · askavet.com
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Nothing typed into this form is sent to or stored by askavet.com. All data stays in your browser and leaves only in the PDF or printout you create. Check the consent and record-keeping requirements of your local veterinary regulator before use.