Thank you for your reaching out to Vet Connection.We understand how difficult this time can be and we are grateful for the opportunity to help.Please fill out the form below. Name * First Name Last Name Phone * (###) ### #### Email * Physical Address * Address 1 Address 2 City State/Province Zip/Postal Code Country My pet's name: * My pet is a: * Dog Cat Other My pet's age or date of birth: * Estimated age if exact age is not known. My pet's breed: * My pet's color: * My pet is: * Female, spayed Female, intact Male, neutered Male, intact My pet's most recent or approximate weight: * Please indicate any current illnesses or issues that your pet is dealing with. * Is your pet currently taking any medications or supplements? If so, please list below: * If none, please type "none". How soon would you like to schedule an in-home visit? * Vet Connection's in-home euthanasia services typically range from $200-$350, with additional costs based on your pet's size and your location. As soon as possible/urgent Within 1 week Within 2 weeks This month Already scheduled In regard to aftercare of my pet's body, I would like: * Vet Connection utilizes a process called aquamation, which is an eco-friendly cremation alternative providing remains very similar to those produced by traditional cremation. Learn more here: https://aquamationinfo.com/process/ To bury my pet at home (please be aware of any local regulations regarding burying a euthanized animal on your property). To have my pet cremated and remains returned to me (clay paw print included, urn options shown below). $295 To have my pet cremated, but do not desire to have remains returned to me (they will be lovingly spread over a memorial field). $95-$145 I would like to purchase an additional clay paw print - $50 * If you have chosen to have remains returned to you, one clay paw print is included. If you would like an additional paw print, or if you have chosen not to have remains returned but would like a clay paw print, please select yes. Yes No If you have chosen to have remains returned to you, please choose from the following options. * All options pictured at the bottom of this page. Scatter Bag (ideal choice for plans to spread remains, or if you have your own urn) Carved Ivy Wooden Urn Wooden Urn with Brass Corners Bamboo Slider Urn No urn needed (home burial/no remains returned) Please indicate any concerns or special requests that you may have. How did you hear about Vet Connection? * If you were referred by someone, please leave their name so that we may thank them. We would like to contact your veterinarian to let them know of your pet's passing. Please provide the name or the clinic of your pet's veterinarian. * By providing this information, you consent to Vet Connection sharing your pet's medical information with the stated veterinary clinic. Is there anything else that you would like us to know about your pet? Thank you for filling out this form. We know that this is a difficult time. If we have not confirmed an appointment time with you, please reach out via email, text or call when you are ready to do so.830-777-6500info@yourvetconnection.com Carved Ivy Wooden Urn Wooden Urn with Brass Corners Bamboo Slider Urn Scatter Bag
