Medical Decisions (Check Only 1 Below) I want my pets to receive all medical treatments available to treat any disease, illness or injury they have, including but not limited to, chemotherapy, radiation, acupuncture, massage therapy, dialysis, etc. Last Wishes (Check Only 1 Below) I want my Pet Guardian to use his or her discretion and best judgment in determining After their death, I prefer my pet be: the type of veterinary care, medications, and Buried. I made arrangements for my pets to medical treatments my pets should receive, The location where vaccine records, health be buried at: taking into consideration the amount of records, and county licenses on my pets can suffering my pet will endure, the likelihood Buried. I have not made arrangements for be found is: such care, medication or treatment will the burial of my pets and leave this decision improve my pet’s longevity and quality of life, to my Pet Guardian. Description of Pet and the recommendation of the treating Cremated. I want their ashes stored as Pet Name: veterinarian. follows: Species: DOB: I want my Pet Guardian to ensure my pets receive routine veterinary examinations, Breed: Color: medications, pain relievers, vaccinations, Spayed/Neutered: preventative medications, steroidal Distinctive markings: treatments, antibiotics, and surgeries as Brand of Food: recommended by the treating veterinarian. However, I do not want my pets subjected to Feeding Info: chemotherapy, radiation, dialysis or similar Food Allergies: types of treatment that could put my pets Medications: through unnecessary pain and suffering that Weight: may outweigh the benefits. My Pet Guardian should follow the recommendation of the Housetrained: : treating veterinarian to ensure my pet is No Crate Trained: : comfortable and does not experience Diseases & Injuries: unnecessary pain. If my pet is experiencing a Behavioral Issues: significant amount of pain that cannot be relieved with medications, my Pet Guardian should use his or her discretion and best judgment in deciding whether to have my pet euthanized.
The location where vaccine records, health records, and county licenses on my pets can be found is: Description of Pet Pet Name: Species: DOB: Breed: Color: Spayed/Neutered: Distinctive markings: Brand of Food: Feeding Info: Food Allergies: Medications: Weight: Housetrained: : No Crate Trained: : Diseases & Injuries: Behavioral Issues: Medical Decisions (Check Only 1 Below) I want my pets to receive all medical treatments available to treat any disease, illness or injury they have, including but not limited to, chemotherapy, radiation, acupuncture, massage therapy, dialysis, etc. I want my Pet Guardian to use his or her discretion and best judgment in determining the type of veterinary care, medications, and medical treatments my pets should receive, taking into consideration the amount of suffering my pet will endure, the likelihood such care, medication or treatment will improve my pet’s longevity and quality of life, and the recommendation of the treating veterinarian. I want my Pet Guardian to ensure my pets receive routine veterinary examinations, medications, pain relievers, vaccinations, preventative medications, steroidal treatments, antibiotics, and surgeries as recommended by the treating veterinarian. However, I do not want my pets subjected to chemotherapy, radiation, dialysis or similar types of treatment that could put my pets through unnecessary pain and suffering that may outweigh the benefits. My Pet Guardian should follow the recommendation of the treating veterinarian to ensure my pet is comfortable and does not experience unnecessary pain. If my pet is experiencing a significant amount of pain that cannot be relieved with medications, my Pet Guardian should use his or her discretion and best judgment in deciding whether to have my pet euthanized. Last Wishes (Check Only 1 Below) After their death, I prefer my pet be: Buried. I made arrangements for my pets to be buried at: Buried. I have not made arrangements for the burial of my pets and leave this decision to my Pet Guardian. Cremated. I want their ashes stored as follows: