APPOINTMENT FORM

*** WE WILL BE UNAVAILABLE FOR APPOINTMENTS 2/14/26 THRU 3/8/26***

(WE WILL BE RECEIVING EMAILS AND APPOINTMENT FORMS DURING THIS TIME AND WILL RESPOND TO THEM AS SOON AS POSSIBLE.  WE WILL BEGIN SEEING APPOINTMENTS AGAIN ON MARCH 9TH, AND THEY CAN BE SCHEDULED BY SUBMITTING THE COMPLETED APPOINTMENT FORM)


*** PLEASE CALL 925-384-2210 IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL ALONG WITH OUR APPOINTMENT PROTOCOL WITHIN 24 HOURS ***









Canine   Feline


Male   Female


Communal Cremation  (NO Ashes Returned)

Private Cremation (Ashes Returned)

 Owner Will Provide Aftercare


Reason(s) for euthanasia (Please check all that apply)

Poor Quality of Life

Cancer   Kidney Failure

Heart Failure   Liver  Failure 

Urinary/Bowel Problems   Severe Arthritis