Ph: (830) 393-4567

1712 D Street,
Floresville TX 78114

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Euthanasia Certificate

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Owner's Name:*
Today's Date:*
Owner's Address:*
Date of Birth:*
List*
Sex:
Breed
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I, the undersigned, certify that I am the owner or duly authorized agent for the owner of the animal described above. I hereby give the doctors, agents, servants, and representatives of Deason Animal Hospital Inc. full and complete authority to euthanize and dispose of said animal in whatever manner they deem fit. I also release the doctors, agents, servants, and representatives of Deason Animal Hospital Inc. from any and all liability for so euthanizing and disposing of said animal.

If Deason Animal Hospital is temporarily holding your beloved pet, your pet will need to be picked up within 3 working days.

In addition, I certify that, to the best of my knowledge, said animal has not bitten any person or animal during the past ten (10) days, and has not been exposed to rabies.

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If you are a new client of Deason Animal Hospital, we invite you to browse our new client center. Here you will find answers to frequently asked questionsclient forms, and more!