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Euthanasia Consent Form Template (Veterinary)

A compassionate euthanasia consent and aftercare form: owner declaration, presence during the procedure, aftercare choice and keepsakes.

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Clinic name
Address · Phone · Email
Euthanasia consent

Patient & owner

Patient name
Owner name
Species
Phone
Breed
Email
Sex / neuter status
Date
Age / date of birth
Case / record no.
Weight (kg)
Veterinarian

Owner declaration

I am the owner (or authorised agent) of the animal described above and I request and consent to its euthanasia. I confirm that, to my knowledge, the animal has not recently bitten any person (if it has, I have told the veterinarian).

Owner / agent — name & signatureDate

Your wishes

Would you like to be present?☐ Yes☐ No☐ Undecided
Aftercare☐ Home burial☐ Communal cremation☐ Individual cremation — ashes returned☐ Other
Keepsakes☐ Paw print☐ Fur clipping☐ Collar / tag returned
Notes
Veterinarian — name & signatureDate
Template from WeVet — free veterinary resources

Frequently asked questions

Is this euthanasia consent template free?

Yes. You can see the whole template on this page. Downloading it for Word / Google Docs or saving it as a PDF needs a free WeVet account.

Can I add my clinic's name and logo?

Yes. Download the Word version and edit it — the clinic details at the top are blank fields.

Is the wording legally approved for my country?

No template can be. Adapt consent and record wording to your national veterinary council and local regulations before using it.

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