Euthanasia Request Form

Owner Information

Thank you for reaching out to us during this difficult time. We understand how hard this decision can be, and we're here to support you. Please take your time filling out the form below. Once it's submitted, one of our team members will reach out to help schedule an appointment for your pet at HSSV.

1. Have you already contacted us by email and received a HSSV request number?
If yes, please enter it below. If you’re filling out this form for the first time and don’t have a request number, feel free to leave this blank.

2. Owner's Full Name: *This question is required.

3. Street Address: *This question is required.

4. City: *This question is required.

5. Zip Code: *This question is required.

6. Phone Number: *This question is required.

7. Email Address: *This question is required. This question requires a valid email address.