Cremation Form

Our team strives to make your next visit seamless. Complete your Cremation Form here to save time and ensure respectful care for your pet.

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Cremation Form

Complete the cremation form online to ensure a smooth process during your visit.

Name *

First

Last

Email *

Pet's Name *

Breed *

Color *

Age *

Sex *

Weight *

Client's Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Euthanasia-Cremation Authorization

I, the undersigned, do hereby certify that I am owner/duly authorized agent for the owner, of the animal described; that the said pet has not bitten any person or animal during the last ten (10) days, and to the best of my knowledge has not been exposed to rabies; and that I do hereby give the Dr. named below and his or her agents, full and complete authority to euthanize said animal; forever releasing said veterinarian and his or her agents, from any and all liability for performing said euthanasia. It is my desire to provide for my pet, decent and humane post-mortem, complying with all the legal requirements of the state. If I convey the remains of the described pet to Kirkpatrick Animal Hospital, I forever release Kirkpatrick Animal Hospital its employees and agents from any and all liabilities for performing said after-care. *

Please write veterinarian's name here

I hereby authorize the disposition of remains to be in the following manner:

Return to owner/agent for disposition of remains
Kirkpatrick Animal Hospital

Signature *

Clear Signature

Today's Date *

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Cremation Form

Cremation Form

Euthanasia-Cremation Authorization

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