Quality of Life Consultation

Paws at Peace offers in-person and virtual appointments to help guide you when your companion is nearing the end of life. Our consultations aim to help your pet enjoy the beautiful time they have left and help you make decisions about when to say goodbye.

“We contacted Dr. Jessica Fragola for a consultation about Molly’s quality of life. Talking to Dr. Jessica helped take a lot of the uncertainty and stress out of our family conversations. Without telling us what to do, Dr. Jessica helped us figure out how we might be able to know when it will be time to say goodbye to our pup, how we can make the best choices for her, and what we can be doing to keep her comfortable and happy in her twilight years.”

In-person Quality of Life Consultations

If you think it may be time or is close to the time for euthanasia, the doctor can come in person for a comprehensive quality-of-life consultation. This includes a thorough review of your pet’s medical history and medical records and a physical examination. Together, we decide if there are steps that can be taken to keep your loved one comfortable and happy at home a little longer and how to determine when it is time to say goodbye. Please note: We are unable to perform bloodwork or other diagnostic testing. We also do not carry any medications to dispense, so all medications are prescribed through our online pharmacy partners, Chewy and MixLab.

With in-person consultations, the doctor comes to your home and will:


  • Review all medical records
  • Perform a thorough physical examination
  • Explain in great detail all the options available, and how to decide when it is time to say goodbye.


If you are struggling with this decision, we also offer brief 15-minute phone consultations with the doctor at no charge to help you think through these difficult decisions.  Please note: without an in-person examination, we can only provide general guidance and cannot diagnose or treat particular medical conditions or prescribe medications.