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ADVANCED DIRECTIVES:

TAKING GARE OF YOUR PET AFTER YOU ARE GONE

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If you would like to enroll in the Advanced Directives Program in your area, please, imdicate your interest by contacting us:

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VIEW SAMPLE FORM BELOW

COURTESY ZJ GOODWIN 

Should ( I / we ) ____________________________________, become unable to care or to make our wishes unknown for my/our Cats ___  Dogs ___ Both___ Other _____ , please honor the following instructions--NOTE:  The welfare of my/our animal(s) is my/our primary concern.


 

Name:              ____________________________________         Telephone: (        )______-__________

Address:          ____________________________

is to be contacted as soon as possible--and is given complete and final authority for my animal(s).

 

Should I/we be traveling and any animal is with me/us, it/they are to be cared for by the nearest reputable boarding kennel (or vet, if necessary), and be kept there in the best possible manner, until such time as arrangements can be made for their transport and transfer to the named agent above..  If anyone is injured, they are to be cared for by the nearest reputable veterinarian.  ___________________________  (named above) is to be contacted regarding decisions about care and treatment.  If he/she determines anyone must be euthanized, we request the most humane method possible.

 

Our animal(s) with dates of birth (“dob” /approximate if unknown) and any identifying features are:

#1:

#2:

#3:

Others:

 

  • Photos are available for identification                         yes ___           no ___
  • The animal(s) are tattooed or microchipped              yes ___           no ___
  • Complete health records are available                       yes ___           no ___
  • Vaccinations are up-to-date                                        yes ___           no ___

 

Current health records may be obtained by contacting:

 

Veterinarian                               __________________________________

Address                                    __________________________________

City, State, Zip                          __________________________________

Telephone                                __________________________________

 

Completed by/Owner:

Name (printed):                         __________________________________
Address:                                   __________________________________            
Telephone:                                __________________________________            

 

Signature:                                 _________________________________________    _____/_____/_____
                                                                                                                                                      (date)