Euthanasia Authorization Form

Thank you for entrusting Creekside Veterinary Hospital with this deeply personal service. Please complete our Euthanasia Authorization Form to help us provide compassionate, respectful care for your pet and support you during this difficult time.

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How to Complete the Form

We understand this is not an easy step. The form is designed to be clear and straightforward. Simply:

  • Provide your contact information
  • Confirm your pet’s details
  • Review and acknowledge the authorization and aftercare preferences

Once submitted, our team will review the form and be with you every step of the way.

Euthanasia Authorization Form

Owner Name(Required)
Address
Species(Required)
I, the undersigned, do hereby certify that I am the owner (duly authorized agent for the owner) of the animal described above; that I do hereby give Hospital Owner, DVM, his agents, servants, and representatives full and complete authority to euthanize the said animal in whatever manner the said Doctor, his agents, servants, or representatives shall deem fit.(Required)
I do hereby, and by these presents forever release the said Doctor, his agents, servants, or representatives from any and all liability for so euthanizing the said animal.(Required)
I grant permission for an autopsy or other procedures at the attending veterinarian’s discretion(Required)
To the best of my knowledge, this animal has not bitten any person or animal in the last 15 days, and has not been exposed to rabies.(Required)
Special Final Care Instructions(Required)

Information About the Euthanasia Process

Now that you've made the hard, but humane, choice to put your aging or ill pet to sleep, you may have questions.

Will it hurt? Can I be with my pet during the process?

Knowing the facts can help you and your family feel more at peace with what's going to happen.

You will have a private exam room to be with your pet for as long as you need, and we will try to accommodate any special requests.

We will have a blanket in the room, but it's often soothing for your pet if you bring a blanket or toy from home.

The following is the in-clinic process:

  1. Signing the Consent Form You will need to read a document, confirm ownership, provide a form of ID (Driver's Licence, Passport, etc.), and sign at the bottom. This document also includes options to select either a Communal Cremation or a Private Cremation. There are also options for having memorabilia made in memory of your pet.
  2. Payments:Many people find it easier to pay before the procedure, as it allows you to spend as much time as you want with your beloved pet in a private room and then leave directly from there. However, there is no obligation to pay beforehand. You are welcome to pay at the end if you prefer.
  3. Placing the IV Catheter: We will briefly take your pet to the treatment area to place an IV catheter. The time required can vary depending on how easily the catheter can be placed. It may take anywhere from a few minutes up to 30 minutes for very small, weak, or ill patients. This step helps ensure the final medication is delivered directly into the bloodstream.
  4. Sedation:Once you have signed the consent form and the IV catheter has been placed, your pet will receive an injection to help them become calm and sleepy. The injection may sting slightly, or your pet may vomit if they have recently eaten, although many pets have no reaction. It can take anywhere from 2 to 20 minutes for your pet to fall into a peaceful, relaxed sleep. Once your pet is asleep, you may choose to say your goodbyes at that time or remain with them for the final injection.
  5. Injecting the Final Drug:Your pet will be brought back into the exam room, where the veterinarian will administer the final medication. This medication quickly and peacefully stops the heart and brain functions, usually within one to two minutes. After your pet passes, their eyes may remain partially open, they may urinate or defecate, or you may notice muscle twitches or a final breath. Although these reactions can be unexpected, they are a normal part of the process and, most importantly, your pet is not in pain. The veterinarian will then use a stethoscope to confirm that your pet has passed.

During this time, you are welcome to stay with your pet for as long as you need. We will proceed with the next steps only when you are ready.

After you leave the hospital, we will care for your pet by notifying the cremation company to carry out your cremation wishes.

You will also receive a condolence email from Gateway Pet Memorial containing a link to your pet's cremation profile. There, you can choose any memorabilia you would like, such as a paw print, or select the type of urn if you have chosen a private cremation.

Clear Signature
Name(Required)

Need Immediate Support?

If you need urgent assistance or would prefer to speak with someone directly, please call 403-274-6633. For questions or follow-up support, you may also email info@creeksidevet.ca.