# 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.

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.

Canonical: https://reuily.com/templates/euthanasia-consent-form
Use this template: https://reuily.com/form/from-template/euthanasia-consent-form
Collections: Agreements & Waivers, Pets & Animals, Veterinary Clinics
Last updated: 2026-10-24

## Questions

- Question 1: What's your full name? (Short Text, required)
- Question 2: What's your email address? (Email, required)
- Question 3: What's your phone number? (Phone, required)
- Question 4: What's your pet's name? (Short Text, required)
- Question 5: What's your pet's species and breed? (Short Text, required)
- Question 6: Where will the appointment take place? (Single Choice, required). Options: At the clinic; At home; Somewhere else
- Question 7: Has your pet bitten anyone in the last 10 days? (Yes / No, required)
- Question 8: Would you like to be present? (Single Choice, required). Options: Yes, the whole time; Only to say goodbye beforehand; No
- Question 9: Which aftercare would you like? (Single Choice, required). Options: Private cremation with ashes returned; Communal cremation, no ashes returned; I'll take my pet home for burial; Not sure yet
- Question 10: Would you like a keepsake? (Multiple Choice, optional). Options: Paw print; Lock of fur; Nose print; No keepsake
- Question 11: Is there anything we should know to make the day easier? (Long Text, optional)
- Agreement: Euthanasia consent, accepted with "I agree" (full text below)
- Question 12: Sign the euthanasia consent (Signature, required)

Signing records the signer's consent, email, IP address, browser and signing time, and each signer can download a signed PDF copy.

## Euthanasia consent

Please read this before you sign.

This consent is between **[Clinic name]** (the "Clinic") and the owner named in this form.

1. **Owner.** I am the owner of the pet named above, or I have the owner's authority to make this decision.
2. **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.
3. **Final.** I understand euthanasia cannot be undone.
4. **Bites.** To the best of my knowledge, my pet has not bitten anyone in the last 10 days, except as stated above.
5. **Aftercare.** I authorize the aftercare chosen above. Ashes or remains not collected within **[number]** days may be handled under the Clinic's policy.
6. **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.

## 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

## 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.