Thank you for trusting us

This form gives us all the information we need and will take around 2-3 minutes to complete but if you would prefer to talk on the telephone, please free to call us on 0161 570 1625 or WhatsApp us on 07476983024

Your Details

First Name*

Last Name*

Phone*

Address for Appointment*

City*

Post Code*

Pets Name*

Type of Pet*

Temperament of Pet*

Age of Pet*

Pet's Gender*

MaleFemale

Service Category*

Small pets (up to 10kg)Medium dog (to 25kg)Large dog (to 50kg)Extra Large dog (50kg+)In person quality of life assessmentVirtual quality of life assessment

Pets Weight*

Pets Breed*

Anything else we should know?

Requested Date of Euthanasia*

Requested Time for appointment*

Reason for Euthanasia*

Where can our vet park?*

Name and Town of your day to day vet practice?*

Would you like us to arrange for a crematorium to collect your pet after the appointment?*

Yes

Undecided

If yes, and you have a preferred crematorium, please let us know here.

If not, we’ll select one of our trusted partners on your behalf. In either case, we’re happy to handle all communications with the crematorium for you.

Referring Partner? (if applicable)

How did you first hear about us?*

Thank you for trusting us and for sending through your booking request.

If your request has been sent during our working hours (8am to 8pm), we will be in touch within the next hour.

If your request has been sent outside our opening hours, we will be in touch at 8am tomorrow morning (7 days a week).

In the meantime, if you need to contact us, please feel to reach out to us on 0161 399 4684.

Oops! There was an error with your submission.

About Us Contact Us Our Services FAQs Blog