Animal Medical of Salado

Consent to Euthanize

December 3, 2023

Owner's First Name*

Owner's Last Name*

Pet's Name*

Best Contact Phone Number*



I, the undersigned, do hereby certify that I am the owner of the animal described above; that I do hereby give Animal Medical of Salado, 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.

I do hereby, and by these presents forever release Animal Medical of Salado its agents, servants, or representatives from any and all liability for so euthanizing the said animal.

I do also certify that the said animal 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.

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Date Signed: December 3, 2023

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Signature Certificate
Document name: Euthanasia Consent
lock iconUnique Document ID: 5f78291630a6aa02cf344d2ce704744a6c436c5a
Timestamp Audit
August 21, 2023 2:21 pm CSTEuthanasia Consent Uploaded by Steve Garcia - IP