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In Home Euthanasia
If this is completed during business hours (M-F 730a-6p, Sat/Sun 730a-12p) a Ranchside staff member will call you to schedule within one hour. If this is an after hours emergency, please call (704) 859-8180.
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Are you a current client? *
If you are not currently a client, please list your primary veterinary hospital and if you would us to notify them. 
Name *
Best contact number? *
Please list your email address:
Physical address?
Street
 *
Physical address?
City, State, Zip
 *
Preferred method of contact *
Pet's name? *
If your pet a male or female? *
Pet's age? *
Pet's breed?
Pet's approximate weight?
Please select the service you are requesting.  *
If this is an emergency please call us at 704-859-8180, if this is not an emergency please list three dates and approximate times that you would be available to schedule this service.
Please select aftercare for your pet: *
If you do not need assistance with aftercare, please note what you plan to do with your pet. Ie: burial, another crematory, ect.  *
Would you like a paw print? (One paw print is included in with private cremation.) Please let us know if you would like any additional paw prints. $25 per paw print *
Reason for Euthanasia?
 *
To the best of my knowledge, <animal> has not bitten, scratched, and/or potentially exposed another person to rabies in the past ten (10) days and I understand that if the animal described above has bitten or otherwise potentially exposed any person within the time specified, a rabies test must be performed.
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