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In-Home Euthanasia Enquiry & Consent Form

A compassionate in-home euthanasia form — the decision, your wishes and aftercare recorded gently, so a pet can say goodbye peacefully at home.

Description

When the time comes, many owners wish for their pet’s last moments to be peaceful, at home, surrounded by the people and places it loved. This form helps arrange that with gentleness and care — recording the decision, the owner’s wishes and the aftercare choices, so a painful day is handled calmly and without a stressful trip. It captures what’s needed to come to you with compassion: confirmation of the decision made with a vet, where at home the owner would like it to take place, who would like to be present, and aftercare such as individual or communal cremation or home burial. It is written plainly and kindly, because the home setting is chosen for exactly this gentleness. This is a sensitive form offered to support one of the hardest decisions, never to rush it. Free, and fully customisable so your service can offer it with the tenderness it deserves.

Form fields

Everything the In-Home Euthanasia Enquiry & Consent Form above collects — 12 fields across 2 pages, so you can see exactly what it captures before you make it your own.

In-Home Euthanasia — Arranging a Peaceful Goodbye

  • Pet's name

    Short Answer Icon
    Short Answer
  • Breed

    Short Answer Icon
    Short Answer
  • Age (years)

    Number Icon
    Number
  • Have you discussed this decision with a vet?

    Yes/No Icon
    Yes/No
  • Where at home would you like it to take place? (a favourite spot, the garden)

    Long Answer Icon
    Long Answer
  • Who would like to be present?

    Single-Select Icon
    Single-Select
  • Aftercare wishes

    Dropdown Icon
    Dropdown
  • Anything you'd like us to know, or any special wishes

    Long Answer Icon
    Long Answer

Your details

  • Your name

    Name Icon
    Name
  • Contact number

    Telephone Icon
    Telephone
  • Email address

    Email Icon
    Email
  • Signature

    Signature Icon
    Signature
Use Template Arrow Right Icon

Template FAQs

Common questions about the In-Home Euthanasia Enquiry & Consent Form — what it captures, when to use it, and how to make it your own.

Why choose euthanasia at home?

Because it lets a pet pass peacefully in familiar surroundings, without the stress of a car journey or a clinic, with family and comforts around. Many owners find it a gentler, more private goodbye for everyone.

What does the form record?

Confirmation of the decision made with a vet, where at home you’d like it to take place, who would like to be present, and your aftercare wishes — so the visit is calm, prepared and exactly as you want it.

Can my whole family be present?

Yes — at home there’s space and time for everyone who wishes to be there, including other pets if that helps. The form asks your wishes so the vet can allow the time it deserves.

What aftercare options are available?

Commonly individual cremation with ashes returned, communal cremation, or home burial where permitted. The form lets you record your choice, and the service will explain each gently.

Is the decision ever hurried?

Never. This supports a decision made with your vet in your pet’s best interest and at your pace. Take the time you need, and ask anything — the vet is there to help you through it.

Is the form free?

Yes — free with a Fun Forms account, and fully customisable so your service can word it with the compassion this moment calls for.