COLONIAL VETERINARY HOSPITAL
  • Home
  • About
    • Testimonials
    • Clinic Tour
  • Services
  • Patient Forms
    • New Client Form
    • Euthanasia Form
  • Client Resources
    • Emergency Centers
    • Payment Options
  • Online Pharmacy
  • Contact

Euthanasia Form

    YOUR CONTACT INFORMATION

    YOUR PET'S INFORMATION

    I, the undersigned, do hereby certify that I am the owner (or duly authorized agent for the owner) of the animal described above. I do hereby give the doctors of Colonial Veterinary Hospital, their staff, and representatives full and complete authority to euthanize and dispose of the said animal in an appropriate manner which the representatives deem necessary.

    I do hereby release Colonial Veterinary Hospital, their staff, and representatives from any and all liability for euthanizing and disposing of the animal.

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

Contact Information

Address: 1007 Pump Road
​                     Henrico, VA 23238

Phone: (804) 741-1763
Fax: (804) 741-1760
Email: colonialvet@gmail.com

Office Hours

Monday: 7:30 am - 6:00 pm
Tuesday: 7:30 am - 6:00 pm
Wednesday: 7:30 am - 6:00 pm
Thursday: 7:30 am - 6:00 pm
Friday: 7:30 am - 6:00 pm
Saturday: CLOSED
Sunday: CLOSED
Follow Us

Contact Us

**Please call to make an appointment

Submit
Site powered by Weebly. 
Photo used under Creative Commons from spies, emanuele spies
  • Home
  • About
    • Testimonials
    • Clinic Tour
  • Services
  • Patient Forms
    • New Client Form
    • Euthanasia Form
  • Client Resources
    • Emergency Centers
    • Payment Options
  • Online Pharmacy
  • Contact