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Download Our App
(706) 632-7387

Services
Boarding & Daycare
Hours & Location
About
Contact

Euthanasia Authorization Form

Name of Pet*

Species*

Breed*

Sex*

Male

Female

Other

Altered*

Yes

No

Other

Color*

Age*

Referring Veterinarian*

Care of remains:*

Leave remains for personal disposal (home burial, ect.)

Communal Cremation (Ashes will NOT be returned)

Private Cremation (Ashes WILL be returned)

Other

I, the undersigned, am the legal owner (or authorized agent for the owner) of the animal listed above. I hereby authorize Ocoee Animal Hospital to euthanize this animal, and release the doctor and all representatives from any and all liability for the euthanasia of said animal. I understand that payment is due at time of services rendered. Type in name if you agree: I certify to the best of my knowledge, the animal has not bitten any person or animal in the last 15 days, and has not been exposed to rabies.*

Ocoee Animal Hospital

88 All Creatures Place
Blue Ridge, GA 30513

phone: (706) 632-7387
fax: (706) 632-7807 • email us

Serving Cherry Log, Ellijay, Jasper, Blue Ridge, Morganton, Blairsville, Copperhill Tennesse, McCaysville

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