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Rivers Release LLC
In Home Pet Euthanasia

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Proudly serving beautiful Western Washington in the Skagit Valley and the Surrounding Areas

Client Information & Euthanasia Consent Form

Find Form Below

Please find the client information and euthanasia consent form below. This paperwork is required as part of your scheduled appointment.

*Every animal is unique. Upon arrival Dr. Graffe reserves the right to perform a physical exam and/or exam consultation on your pet at your home and may refuse to euthanize based on his medical assessment.

Rivers Release LLC

Client Information and Euthanasia Consent Form

OWNER INFORMATION

Full Name *

Date *

Phone*

Email*

Address*

City*

Zip Code*

Mailing Address*

Yes

No

If no, please provide

PET INFORMATION

Patient Name*

Species*

Canine

Feline

Sex*

Male

Female

Breed*

Age*

Weight*

Color*

Regular Veterinary Clinic*

AFTERCARE ARRANGEMENTS

I certify that the aftercare of my animal's remains will be cared for in the following manner:*

Radiant Heart PRIVATE CREMATION - Ashes returned and available for pickup at Radiant Heart

Radiant Heart COMMUNAL CREMATION - NO Ashes returned

At Home Burial - I will keep and be responsible for handling at home burial in compliance with all applicable regulations

Other - I will be responsible for handling and arranging all aftercare services myself

© 2020-2026 Rivers Release LLC

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