Russell Vale Animal Clinic

17 Bellambi Lane
Bellambi, NS 2518

(024)284-5988

www.animalclinic.com.au

Sleep Soft, Dear Friend

The tide recedes but leaves behind bright seashells on the sand

The sun goes down but gentle warm still lingers on the land

The music stops, and yet it echoes on in sweet refrains...

For every joy that passes something beautiful remain

We know that during difficult times like this, filling out forms and making decisions about after care is difficult.  We will work with you to ensure that your pet's transition is as smooth as gentle as we can make it. For each family and for each pet, it is an individual, personal experience.  

To help ease some of the distress on the day, and especially due to COVID-19 protocols of sterility, we have the option of an online euthenasia consent form,

We are unable to share costs online, just ask, and we will email you that information. Know that we are with you every step during this difficult time. 

Dr Liz

May 2020

Euthenasia Consent Form Form

Name (required)
First Name (required)
Last Name (required)
Address (required)
Street Address (required)
City (required)
,
State / Province (required)
Zip / Postal Code (required)
Phone (required)
Phone TypePhone Number (required)
E-Mail Address (required) :
About your pet
Your Pet's Name (required)

Your pet's information - such as breed, age, sex or any other information you feel is relevant (required)

Your pet's weight (required)

I understand the options available to me to take care of my pet's body. Please select the field that represents your wishes. (required)

I, the owner will make my own arrangements
Community Cremation (no return of ashes)
RSPCA Private Cremation
Pets At Peace Private Cremation
Patch and Purr Private Cremation Paws
Patch and Purr Private Cremation Whiskas
Patch and Purr Private Cremation Wags


Do you have any other questions or concerns at this time? Please comment here or contact us directly.

I hereby request the euthenasia of the above named pet. I am the owner, or the authorised agent of the Owner. In clicking "Submit form", I acknowledge that this is an authority given to Dr Liz at Russell Vale Animal Clinic

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