Closing Chapter Home Pet Euthanasia

Request Consultation

Request for phone or home consultation.

Select Your Appointment Time

Choose your preferred time - booking will be confirmed when you submit the form

Consultation Type

In-Home Visit (30 minute, in-home quality of life consultation)

Brief Call (5-10 minutes)

Contact Information

First Name *

Last Name *

Email *

Phone *

Address

Required for In-Home Visit

Pet Information

Pet's Name *

Pet's Age *

Pet Species *

Pet Breed *

Pet Weight *

number only, in pounds (lbs)

Medical Information

Tell us what's going on with your pet: *

Requested Timeframe: *

In-home visit notes:

To help make the visit as peaceful as possible for everyone, is there anything we should know about how your pets react to new people or being handled?

Primary veterinarian

Would you like us to notify your veterinarian?

Yes

If yes, provide a means of contact:

Phone number, Clinic name, Address, email, etc.

Additional Information

Provide any additional comments you'd like to include here: