Walking With You Through the End of Life Journey
When you don’t know how the end will happen, or what your pet’s needs will be, we’re here to walk with you. And when that time comes, we will be there to help you and your best friend with a compassionate and peaceful transition.
Availability
Our veterinarians are available to serve you and your beloved pet. Our Client Care Team is on call for end-of-life emergencies after normal hours, weekend and after-hour fees apply:
Mon – Fri: 8:00 am – 6:00 pm
Sat: 8:00 am – 6:00 pm
Sun: 8:00 am – 6:00 pm
Services and Pricing
What Type of Consult is Best for My Pet?
- A Telehealth Consult is a great opportunity to discuss your pet’s current condition, any diagnoses your pet has been given, for you to learn how to objectively evaluate and measure quality of life, and to develop a palliative care and/or end of life plan for your pet. This option is best for pets that are being monitored and cared for by your family veterinarian as an added resource to your pet’s care team.While we are happy to schedule a Telehealth consultation with any family for any situation, there are limitations to Telehealth that prevent a thorough physical exam, diagnostics, and certain prescribing abilities due to state law, so if you are at the beginning of your pet’s end of life journey, a visit to your family veterinarian may be recommended to be sure your pet has the best quality of life possible during their journey.
- An In-Person Consult is also a great opportunity to discuss all of the above as well as have a hands-on exam for your pet. This can help determine underlying concerns that should be addressed and if humane euthanasia is elected, your pet’s peaceful passing can occur at the same appointment. This option is best for pets that may or may not be monitored and cared for by your family veterinarian, pets who cannot safely or easily be transported to your family veterinarian anymore, or your pet that you believe may be at the end of their journey but you’d like an objective hands-on evaluation before making the decision to provide humane euthanasia. Your pet must be tolerant of strangers for this appointment to be successful. The limitations of this type of appointment are that diagnostics (radiographs/bloodwork) cannot be performed so diagnoses cannot be made but some prescriptions can be scripted/refilled at the veterinarian’s discretion.
- A Veterinary Visit at your family veterinarian is recommended for any pets that need diagnostics (blood work, radiographs, etc…) to diagnose their ailments or for routine monitoring for certain long term medications or conditions. It is in your pet’s best interest to have a diversified care team as you enter into their end of life journey and we are happy to communicate with your veterinarian to be sure your pet’s care team is on the same page every step of the way.We look forward to meeting you and your pet in-person and/or virtually; please let us know how we can best support your family during this time.
Euthanasia Fees
Final Veterinary Visit: $325 (includes house-call visit, sedation, euthanasia, memorial clay paw print, and fur-clipping, if desired)
In-Office Final Visit: $275 (includes sedation, euthanasia, memorial clay paw print, and fur-clipping, if desired)
Additional Fees:
Same-day visits (if available) and pre-scheduled Saturday visits: +$49
Pre-Scheduled Sunday visits: +$98
After-hours (6 pm – 7 am), same-day weekend, and Emergency Visits: +$98 – $199 depending on timing and notice given
Additional Mileage Fees:
+$24 (Sandbridge, Pungo, Western Branch, Deep Creek)
$49 (30 min from Virginia Beach)
$98 (45 min from Virginia Beach)
$149 (60 min from Virginia Beach)
$199 (>60 min from Virginia Beach)
Veterinary Hospice Fees
Initial Hospice Visit (up to 90 minutes): $325
Hospice Progress Exam (up to 60 minutes): $175
Additional Fees:
Same-day visits (if available) and pre-scheduled Saturday visits: +$49
Pre-Scheduled Sunday visits: +$98
After-hours (6 pm – 7 am), same-day weekend, and Emergency Visits: +$98 – $199 depending on timing and notice given
Additional Mileage Fees:
+$24 (Sandbridge, Pungo, Western Branch, Deep Creek)
$49 (30 min from Virginia Beach)
$98 (45 min from Virginia Beach)
$149 (60 min from Virginia Beach)
$199 (>60 min from Virginia Beach)
Integrative Medicine Fees
Initial Consultations (up to 90 minutes): $325 (includes a single treatment modality, if appropriate)
Recheck Consultations (up to 30 minutes):
$124 (in office – includes a single treatment, if appropriate)
$175 (at home – includes a single treatment, if appropriate)
Additional Treatments (acupuncture, rehabilitation, chiropractic adjustment): $75
Additional Therapeutic Consultations (homemade diet recipe, master herbalist consultation, home exercise plan): $75
Introductory Package (up to 25% savings)
Initial Consultation with 3 recheck consultations (up to two treatments each visit): $675 office, $785 home
Additional Mileage Fees:
+$24 (Sandbridge, Pungo, Western Branch, Deep Creek)
$49 (30 min from Virginia Beach)
$98 (45 min from Virginia Beach)
$149 (60 min from Virginia Beach)
$199 (>60 min from Virginia Beach)
Additional Fees:
Same-day visits and pre-scheduled weekend visits (if available): + $49
TeleAdvice Fees
Quality of Life Assessment (45 minutes): $175
Recheck Appointment (established patients, up to 60 minutes): $125
Medication Adjustment (established patients, up to 30 minutes): $75
Aftercare Fees
individual Cremation (ashes returned to you):
0-35#: $235
36-80#: $290
81-130#: $335
Communal Cremation (no ashes returned):
0-35#: $145
36-80#: $195
81-130#: $235
Cremation Only (does not include an HRVH doctor visit): $49 pickup fee from the owner’s home + cremation fee based on pets weight. No pickup fee if a pet is brought to our office.
Additional Mileage Fees:
+$24 (Sandbridge, Pungo, Western Branch, Deep Creek)
$49 (30 min from Virginia Beach)
$98 (45 min from Virginia Beach)
$149 (60 min from Virginia Beach)
$199 (>60 min from Virginia Beach)
Client Testimonials
Meet Our Team
Dr. Tyler Carmack
While working in emergency medicine, Dr. Tyler Carmack witnessed many pet owners struggling with difficult decisions regarding their beloved pet’s end-of-life care. These medical decisions are very personal, emotional, and confusing for pet owners and their families....
Dr. Theresa Economos
Dr. Theresa Economos, a Virginia Beach native, graduated from the Virginia-Maryland Regional College of Veterinary Medicine in 2013. She is a proud Hokie, having also graduated from Virginia Tech prior to vet school. After vet school, Dr. Economos moved to Northern...
Dr. Christa Gilfeather
Dr. Christa Gilfeather, graduated from Mississippi State University with two bachelor’s degrees, one in microbiology and another in animal and dairy science in 2015. She continued her journey as a Bulldog at the Mississippi State University College of Veterinary...
Adriane Harden, Client Care Team Lead
Adriane is new to veterinary medicine but has a love and passion for animals which peaked her interest in the industry. In hopes to further her passion in the veterinary field, she chose join the end-of-life pet care industry so that she could help not only animals in...
Mandi Browning, Grief Support Specialist
Grief Support Specialist Mandi holds a bachelor’s degree in psychology and a Master of Arts in Thanatology (the study of death, dying, and bereavement). She has a passion for animals and helping people deal with grief. Her education, passion, and experience in human...
Josh Lewis, Marketing Director
Marketing Director Josh is a graduate of Colorado State University and joined the Caring Pathways team in 2017. Josh is honored to share the compassionate stories of the Caring Pathways team to bring an understanding to the Colorado community of our end-of-life pet...
Service Area
Denver Metro Service Area Highlighted in Purple
