Comments and Memorials

I would like to make my website as complete as possible for people thinking about whether a home euthanasia would be right for them. I also wanted to give pet owners a place to memorialize their beloved companions. So I am adding pet pictures and memorials, and comments from people for whom I have performed the service.

I would love to have a picture of your beloved companion with a few words from you about what made him or her so special. And if you have a few words to share about the service that might help someone else considering home euthanasia, I would greatly appreciate that as well. I will use your pets’ names, but only owner’s initials and town.

Thank you,
Dr. Sharon Sernik

Please do not use this form to request a new service for your pet. In that case, see the 'Contact Info' page for email and phone information.

* Fields with a red asterisk next to them are required.

Owner's Info

Your First name:*

Your Last name:*

Your City:*

Your State:*

Your Email address:

Your Phone #:

Pet's Info

Pet's Name:*

Message

Is this a testimonial, a memorial, or other?*

Testimonial

Memorial

Other

Message:*

File Upload

Here you may upload photos of your pet (or other files as needed). You may submit up to 2 files per form entry. In order to upload more files, please complete a new form after submitting this one.

After clicking submit, please allow time for your files to upload before clicking or leaving the page. You will be taken to a new page letting you know that the form (and files) have been submitted successfully.

File 1:

File 2:

Please check the box to the right: