Roncesvalles Animal Hospital

Compassionate Care Consent

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"*" indicates required fields

Name of Pet Owner*
I declare I am the owner on account file for this pet and am responsible for all decisions regarding procedures and payments*
Email*
MM slash DD slash YYYY
Time of your appointment*
:

I wish to have my pets ashes returned*
and acknowledge there is an additional charge for this. If Yes, please also complete the next question for your choice of urns.

Complimentary urn choices
Complimentary urns can be viewed under STANDARD URNS at https://www.gatewaypetmemorial.com/memorial-products-ontario/Please indicate the name of the one you would like below.

I wish to have an ink paw print and hair clipping done at no charge and I understand it will be forwarded to me at a later date.

Euthanasia protocol
On arrival, the doctor will review your pet's condition. The doctor has the right to refuse to euthanize your pet if they feel it is not appropriate to do so.
Required*
I Consent to the above procedure of Euthanasia*

Please allow extra time to find parking/navigate due to construction on Roncesvalles Avenue and Queen Street. We regret any inconvenience and appreciate your patience.

Dear Roncesvalles Animal Hospital clients and community. Due to the surge of respiratory illnesses and on the recommendations of the Ontario Veterinary Medical Association, we are strongly recommending masks be worn in the clinic to provide safety to our clients and staff. We will be limiting clients to 1 person in the exam room and appreciate your understanding.
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