Pet Euthanasia Consent Form Template
A free sample pet euthanasia consent form for vet clinics and mobile vets. Owners confirm their pet, choose aftercare and sign online ahead of time.
Customize the pages and design to fit your needs.
About this template
Owners confirm their pet, where the appointment happens, whether they'd like to be present and their aftercare choice. They sign ahead of time, so the day itself is about saying goodbye, not paperwork.
Common uses
- Vet clinics and animal hospitals
- Mobile and in home euthanasia services
- Owners who want to sign ahead of time
Key features
- Presence and aftercare choices
- Keepsake options
- Signed PDF for the record
What this template asks
What's your full name?
Short Text
What's your email address?
Email
What's your phone number?
Phone
What's your pet's name?
Short Text
What's your pet's species and breed?
Short Text
Where will the appointment take place?
Single Choice · At the clinic, At home, Somewhere else
Has your pet bitten anyone in the last 10 days?
Yes / No
Would you like to be present?
Single Choice · Yes, the whole time, Only to say goodbye beforehand, No
Which aftercare would you like?
Single Choice · Private cremation with ashes returned, Communal cremation, no ashes returned, I'll take my pet home for burial, Not sure yet
Would you like a keepsake?
Multiple Choice · Optional · Paw print, Lock of fur, Nose print, No keepsake
Is there anything we should know to make the day easier?
Long Text · Optional
Euthanasia consent
Agreement text, accepted with “I agree”
Sign the euthanasia consent
Signature
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Euthanasia consent
Signers read this text in the form before they accept it. Edit the bracketed details to match your business, and have the wording reviewed for your situation.
Please read this before you sign.
This consent is between [Clinic name] (the "Clinic") and the owner named in this form.
- Owner. I am the owner of the pet named above, or I have the owner's authority to make this decision.
- Consent. I ask and authorize the Clinic's veterinarian to humanely euthanize my pet, and to give sedation first if the veterinarian thinks it's best.
- Final. I understand euthanasia cannot be undone.
- Bites. To the best of my knowledge, my pet has not bitten anyone in the last 10 days, except as stated above.
- Aftercare. I authorize the aftercare chosen above. Ashes or remains not collected within [number] days may be handled under the Clinic's policy.
- Fees. I agree to pay the fees for this service and the aftercare I chose.
By signing below, I confirm that the information in this form is true and I give my consent.
Frequently asked questions
What does a pet euthanasia consent form include?
The owner and pet, where the appointment happens, recent bite history, whether the owner wants to be present, aftercare and keepsakes.
Can owners sign it at home before the appointment?
Yes. Send the link ahead of time, so the owner can sign quietly at home and the visit itself has no paperwork.
Does it work for in home euthanasia?
Yes. Owners choose clinic or home, and mobile vets can collect the signed consent before they drive out.