Euthanasia Release Form

I, the undersigned, do hereby certify that I am the owner of the animal, and hereby give Fitch- burg Veterinary Hospital full and complete authority to euthanize the animal in whatever manner the doctor shall deem fit. I hereby release the doctors and staff from any and all liabilities for euthanizing said animal. I understand that euthanasia results in death.

I do also certify that the said animal has not bitten any person or animal during the last 15 days and to the best of my knowledge has not been exposed to rabies.