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Euthanasia Consent Form
Owner Information 
Pet Information 

I, the undersigned, do hereby certify that I am the owner (duly authorized agent for the owner) of the pet described above; that I do hereby give Elizabeth Hays, DVM, her agents, servants, and representatives full and complete authority to euthanize the said pet in whatever manner Dr. Hays, her agents, servants, or representatives shall deem fit.

I do hereby, and by these presents forever release Dr. Hays, her agents, servants, or representatives from any and all liability for so euthanizing the said pet.

I do also certify that the said pet has not bitten any person or animal during the last fifteen (15) days, and to the best of my knowledge has not been exposed to Rabies.

If you have any questions, call us at 541-647-6810