Heaven's Pets | Veterinarians – Client Intake Form

To make arrangements for a client’s pet, please complete the form below:

Owner
First Name*
Last Name*
Address*
City*
State*
Zip*
Email*
Phone*
Pet
Pet Name*
Sex
- Male
- Female
Breed
Weight
Date of Birth
Month
Day
Year

mm/dd/yy
Date of Death
Month
Day
Year

mm/dd/yy
Veterinarian
Veterinary Hospital*
Veterinarian Name
First Last
Veterinarian or Clinic Email*
Enter Email Confirm Email

Please provide an email address so that we can send you a copy of this form for your records.
Veterinarian or Clinic Phone*
Arrangements
Type of Cremation*
All Private Cremations include the following:
- A Lock of Hair that is placed in a silk sachet bag. There are a few instances when this is not possible.
- A numbered ID tag guaranteeing the identity of your pet throughout the cremation process.
- Return of your pet’s cremated remains within 3 business days of confirming all information.
- Your pet’s Certificate of Cremation.
- Personalized poems in your pet’s remembrance.
- Transportation of your pet from your veterinarian or emergency clinic within 75 miles of Heaven’s Pets.
- Complimentary use of our counseling room to say goodbye to your beloved pet.
- Complimentary grief counseling at our Lake Lawn Metairie Cemetery location.
- Packages are sold "as is" and there are no substitutions. Any additional items or services may be purchased separately.
All Communal Cremations include the following:
- A Lock of Hair that is placed in a silk sachet bag. There are a few instances when this is not possible.
- Your pet’s Certificate of Cremation.
- Personalized poems in your pet’s remembrance.
- Transportation of your pet from your veterinarian or emergency clinic within 75 miles of Heaven’s Pets.
- Complimentary use of our counseling room to say goodbye to your beloved pet.
- Complimentary grief counseling at our Lake Lawn Metairie Cemetery location.
- Packages are sold "as is" and there are no substitutions. Any additional items or services may be purchased separately.
Heaven's Pets to Call: Heaven's Pets will call the owner directly to discuss the cremation options between a Private Cremation and a Communal Cremation and make all arrangements.
Private: A Private Cremation means that your pet will be placed and cremated ALONE in the cremation chamber. There are no other pets or separations in the cremation chamber. The Private Silver Cremation Package also includes:
- An Ink Print of your Pet’s Paw or Nose
- A lovely complimentary urn containing your pet’s cremated remains.
Private: A Private Cremation means that your pet will be placed and cremated ALONE in the cremation chamber. There are no other pets or separations in the cremation chamber. The Private Gold Cremation Package also includes:
- An Ink Print of your Pet’s Paw & Nose.
- A Silicone Impression of your Pet’s Paw or Nose
- A lovely complimentary urn containing your pet’s cremated remains.
- A Brass Nameplate
Private: A Private Cremation means that your pet will be placed and cremated ALONE in the cremation chamber. There are no other pets or separations in the cremation chamber. The Private Platinum Cremation Package also includes:
- A Heaven's Pets Special:
  An Ink Print of your Pet's Two Front Paws & Nose
- A Silicone Impression of your Pet's Paw
- A Silicone Impression of your Pet's Nose
- A lovely Premium Return urn containing your pet’s cremated remains.
Communal: With a communal cremation, your pet will be cremated with other pets in our cremation chamber and their cremated remains will NOT be returned. Their cremated remains will be respectfully scattered in our Memorial Garden and the certificate of cremation, personalized poems and keepsake items will be returned to you. The Communal Silver Cremation Package also includes:
- An Ink Print of your pet’s Paw or Nose.
Communal: With a communal cremation, your pet will be cremated with other pets in our cremation chamber and their cremated remains will NOT be returned. Their cremated remains will be respectfully scattered in our Memorial Garden and the certificate of cremation, personalized poems and keepsake items will be returned to you. The Communal Gold Cremation Package also includes:
- An Ink Print of your pet’s Paw or Nose.
- A granite inlayed Memorial Brick.
Fee Note
Special Instructions
Submitted by:*

Please enter your name.
Name
This field is for validation purposes and should be left unchanged.