Closing Chapter Home Pet Euthanasia

Service Request

Request for at home euthanasia service.

Select Your Appointment Time

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

Contact Information

First Name *

Last Name *

Email *

Phone *

Address *

Pet Information

Pet's Name *

Pet's Age *

Pet's Weight *

In pounds (lbs), numbers only

Pet's Species *

Pet's Breed *

Pet's Color *

Pet Medical Information

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

Other visit considerations:

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 of your pet's passing?

Yes

If yes, please provide a form of contact:

Aftercare information

Aftercare type *

Communal cremation, private cremation, or make own arrangments.

For private cremation, select urn type:

Keepsakes

Complimentary paw print, nose print, and fur clipping in vial are always offered at time of visit.

Additional paw/nose prints

Additional clippings in vial

Faux leather clay print

Large square resin with fur and name, includes small acrylic stand

Heart resin with fur

Basic shape resin with fur

State in notes section below which shape. Shapes include:

Notes:

Additional Information

Opportunity to provide any additional information you think neccessary or helpful: