After careful consideration, we have decided to temporarily suspend our hospice services. We sincerely apologize for any inconvenience this may cause.

In-Home Pet Hospice &
Palliative Care

Improving quality of life is our goal.

What is Pet Palliative Care and In-Home Pet Hospice?

Compassion 4 Paws’ goal of in-home pet hospice and palliative care is to improve the quality of life for both you and your pet, for whatever time you have left together. While pain management is an integral part of palliative care, palliative care actually encompasses all aspects of end-of-life care, no matter the ailment or disease. The focus is on keeping your pet comfortable while supporting you and your family and offering guidance on your pet’s continued care. For some families, this may last for months; for others, only days. Our hospice and palliative care program allows you and your pet to remain together at home during this precious time and avoid stressful repeat visits to the veterinary hospital.

In 2017, Dr. Sara was one of the first veterinarians in the world to receive Certification in Animal Hospice and Palliative Care, a rigorous 16-month course from the International Association for Animal Hospice and Palliative Care. Dr. Allison completed her program and received certification in August 2020 and Dr. Kelli followed, becoming certified in 2022. All of the doctors at Compassion 4 Paws strive to continually improve the care offered to pets and their families, and remain up to date on the latest knowledge in the field so you can feel confident and secure in your decisions.

Dog Hospice | Pet Hospice | In-Home End of Life Care for Pets | Pet Loss Services | Pet Acupuncture | Pet Laser Therapy | Seattle Area

What is the difference between Palliative Care and Hospice Care?

While hospice care typically refers to the care given at the end of life, palliative care is comfort care that can be given at any time during a pet's life. Hospice care always involves palliative care, but palliative care doesn't automatically include hospice care, in its traditional sense. It is important to realize that in the later stages of a pet's life, or following a diagnosis of a terminal illness, the goal is to manage discomfort, improve quality of life, and support the family through difficult decisions, regardless of the label of care.

How can in-home Palliative and Hospice Care help my pet?

Dr. Sara and her team tailor their hospice and palliative care to the unique needs of each pet and work closely with each family to develop a plan that fits. Each situation is a bit different, as each pet is unique. The care plan may involve medications to relieve pain and nausea, fluid therapy, and nutritional guidance. Because we are in the place where the pet is most comfortable, we are more likely to observe an accurate picture of their comfort or pain level. A further benefit of in-home visits allows us to offer suggestions to improve the pet’s immediate surroundings. Our visits also include a quality of life assessment as we provide the tools to help you further assess your pet's level of discomfort, and help you determine the "right" time to say goodbye.

​The length of time a pet spends in our care program depends on the individual pet and may vary between days and months. Some pets, such as dogs with arthritis and mobility issues, may even be kept comfortable and managed for longer periods of time.

Dog Hospice | Pet Hospice | In-Home End of Life Care for Pets | Pet Loss Services | Pet Acupuncture | Pet Laser Therapy | Seattle Area
Dog Hospice | Pet Hospice | In-Home End of Life Care for Pets | Pet Loss Services | Pet Acupuncture | Pet Laser Therapy | Seattle Area

Does Hospice Care always lead to Euthanasia?

In some cases, euthanasia may not be desired or needed and the pet may die a natural death at home. This is similar to a true human hospice model. At Compassion 4 Paws we strongly believe that euthanasia should be considered if it is the most compassionate choice to alleviate the pet’s suffering. However, we will support a natural death when appropriate and preferred by an owner.

Initial Palliative/Hospice Care Consultation

60-90 Minutes

This in-home consultation includes:

  • Review of your hospice intake form
  • A comprehensive review of your pet's medical records
  • Thorough physical exam
  • Assessment of your pet's environment with recommendations for modifications if applicable
  • Quality of life assessment and the tools to help you decide when euthanasia might be considered
  • Personalized medical management plan
  • A comfort kit in case of emergency, if appropriate
  • Pain assessment ("how do I know if my pet is in pain?")
  • In-depth discussion of your pet's disease process and expected trajectory
  • A discussion surrounding the euthanasia process, and how to prepare for loss
  • A discussion regarding your options for aftercare
  • One month of follow-up communications with our hospice support team
    *Please note that this does not include any follow-up visits*
  • Need continued care? Choose our Monthly Hospice Plan for ongoing care and support.

In-Home Pet Hospice/Palliative Care Recheck Consultation
*for existing hospice/palliative care patients only*

30-60 Minutes

There may come a time when a new issue arises, or conditions change, and you would like the doctor to revisit you and your pet. During this appointment, they will offer guidance based on your pet's recent history and observations. They will perform an exam which will allow them to compare your pet's physical condition from the previous visit. During this visit, the doctor may be able to offer measures or medications to improve your pet's quality of life, or they may gently recommend you reconsider your "lines in the sand" that suggest it is time to say good-bye. There is no limit on the number of recheck consultations that we may provide for you and your pet; that is dependent on your wishes and need for support and guidance.

Monthly Hospice Plan
*for existing hospice/palliative care patients*

A Monthly Hospice Plan is available for families wishing for continued communication and care following 30 days after the initial Hospice consultation.

30 Day Renewal

The Hospice Plan includes:

  • Continued medication adjustments to manage clinical symptoms and/or pain and discomfort
  • Continued review and input on your pet’s monthly quality of life calendar
  • A monthly 30-minute Zoom check-in by hospice support staff
  • Reduced cost for in-person veterinary recheck appointments during that month if needed ($50 off appointment fee)
  • Reduced cost euthanasia appointment during that month if needed ($50 off appointment fee)
  • Exclusive access to our online pharmacy


"All that we love deeply becomes a part of us"

Helen Keller

Client Testimonials


Dr. Kelli explained everything to us so kindly and professionally, she was patient and understanding! I will never go elsewhere and will always use this service. They even provided an ink paw and nose print to keep! Read More

They also provided aftercare options. During one of the most painful experiences of my life I would recommend the entire Compassion 4 Paws team.

Feb 2022

Our primary care vet referred us to Compassion 4 Paws and I knew it was the right choice from our initial email contact with their Care Coordinators. We appreciated Dr. Nicole’s gentle attention to Coco and her guidance until the last breath. Read More

Dr. Nicole was very loving towards Coco and supportive to the human parents that were grieving her loss.

Jan 2022

Service Area

Our service area extends North to some parts of Marysville and South to Tukwila.  We also service the Eastside including Redmond, Woodinville, and Bellevue.  Please review our service area map for details.  Rates and services will vary based on availability and location within our service area.  Please call for more information.