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MODEL EUTHANASIA AUTHORIZATION

MODEL EUTHANASIA AUTHORIZATION 2025

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The document is a model euthanasia authorization form published by the American Veterinary Medical Association. It serves as a sample for veterinary practices to obtain consent from pet owners for the euthanasia and disposal of their animals. The form includes sections for owner information, animal details, and legal disclaimers, emphasizing that it should not be used without legal counsel and does not provide legal advice.

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Click ‘Get Form’ to open the MODEL EUTHANASIA AUTHORIZATION in the editor.
Begin by entering the Veterinary Business Name and Address at the top of the form, along with the Date.
Fill in the Case/Client Number, followed by the Owner’s Name, Address, and Telephone Number.
Provide details about the Patient including its Name, Microchip Number, Age, Species/Breed, Sex, Weight, and Color.
Indicate whether you are the legal owner or an authorized agent for the animal. Complete any necessary fields regarding authority to euthanatize.
Review and complete sections regarding rabies exposure and testing requirements as per state law.
Select your preference for handling remains after euthanasia: private cremation, cremation without return of ashes, home burial, or hospital policy disposal.
Decide on necropsy preferences and ensure all information is accurate before signing.
Finalize by adding signatures where required and confirming that you understand all terms outlined in the document.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Do you need vet approval for euthanasia?

It has developed a neurologic condition that makes it extremely difficult to care for. Or it has been hit by a car and injured beyond repair. Although a veterinarian may point out that an injury or disease condition would justify euthanasia, the owners authorization for the procedure is always required.

What are the 5 stages of euthanasia?

initial euthanasia request, (2) written declaration, (3) second opinion appointment, (4) scheduling euthanasia, and (5) euthanasia death.

How to get euthanasia certification?

For those unable to commit to onsite training, CAETA offers online training extracted from our core 10-hour Peaceful Euthanasia Certification program, along with 10 hours of additional content related to equine, livestock, and exotic euthanasia, compassion fatigue, and pet loss support.

What is the protocol for euthanasia?

Euthanasia is a medical procedure to end life, typically via IV administration of a pentobarbital anesthetic overdose or with select organ injection in anesthetized patients.

How to confirm euthanasia?

Use the following criteria to assess and confirm death: No heartbeat. No respiration. No corneal reflex. Presence of rigor mortis.

Who can perform euthanasia on animals?

Criteria for a Good Death in Animals Euthanasia of animals is a common procedure performed by veterinary professionals. Nevertheless, because of the seriousness of the action, it deserves appropriate consideration.

Who has the authority to euthanize the animal?

A dog or cat may be tranquilized with an approved and humane substance before euthanasia is performed. Euthanasia shall be performed by a licensed veterinarian or physician or lay person who is properly trained in the proper and humane use of a method of euthanasia.

MODEL EUTHANASIA AUTHORIZATION 2025

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