Carolina Veterinary Specialist (Greensboro)

The form below will provide information to Companah on a service request for Carolina Veterinary Specialist. If you have any questions or concerns, please don’t hesitate to give us a call at (336) 663-6795.

Rainbow Tag ID
Pet Information
Name of Pet*
Owner's Last Name*
Species
Breed (if known)
Weight
Service Information
Type of Cremation*
- Private Cremation with Biodegradable Urn and Seedling
- Private Cremation with Engraved Urn
- Communal Cremation
Confirmation*
- Confirm Communal Cremation
Just to be safe - we want to make sure you intend to choose communal cremation.
Staff Member
Not required - but this will provide a point of contact if we have any questions.
Special Instructions or Notes
Would the Pet Owner like to be notified when the pet is ready to come home?
- Yes
Client Contact Information
If the pet owner would like to be updated on when their pet will be ready to come home to them, please provide any of the following information.
Client Name
Client Email
Hidden Fields
Vet Email

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Pet Information

Service Information

Client Contact Information

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Cost of Water Cremation

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