Hospice Care Consent

Please fill out the hospice care consent form below, and a member of our team will get back to you shortly. If you have any questions, please feel free to contact us.

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Hospice Care Consent Form

Providing Comfort and Compassionate Care for Your Beloved Pet

Please fill in the following consent form prior to our visit. Please Note: Any fields with * are required.

Please read the following statements and initial below each to indicated that you have read and understand:

I understand that hospice care may include but is not limited to the following:

  • Pain Management and Palliative Care
  • In-Home Visits and Assessments
  • Telemedicine Visits and Phone Calls
  • Nutritional Support and Guidance
  • Mobility Assistance and Comfort Aids
  • Emotional Support for Family Members
  • Coordination with Primary Veterinarian
  • Planning for Euthanasia and/or Paliated Natural Death
Clear Signature