Fees & Policies

In-Home Euthanasia Fees

IN-HOME EUTHANASIA ($450, plus aftercare costs – please see below)

This includes travel fee, sedation, euthanasia procedure, a personalized clay paw print keepsake, grief and pet loss literature, and notification to your regular veterinarian of your pet’s passing.

(For pets that weigh greater than 120 pounds, we are able to assist ONLY with the euthanasia procedure. Please contact us for pricing. Pending your location, we may have suggestions of who to call to help arrange the pick up of your pet for cremation.)

Aftercare Options


This will be a truly private procedure as your pet will be the only pet within the cremation chamber throughout the entire process. The service includes a Certificate of Private Cremation and one of the standard urns shown at no additional fee.

  • For pets 15 pounds and under: $250
  • For pets 16-45 pounds: $275
  • For pets 46-85 pounds: $300
  • For pets 86-99 pounds: $350
  • For pets 100-120 pounds: $425

(Unfortunately, we are unable to provide private cremations for pets over 120 lbs. Pending your location we may have suggestions of who to call to help arrange to pick up of your pet for cremation or other alternatives.)


Your pet is cremated with other pets. The cremains will not be returned to you. However, a representative amount of cremains with be scattered throughout the gardens at Bubbling Well Pet Memorial Park, giving you a place to visit and remember your beloved companion.

  • For pets 15 pounds and under: $125
  • For pets 16-45 pounds: $175
  • For pets 46-85 pounds: $215
  • For pets 86-99 pounds: $250
  • For pets 100-120 pounds: $325

(Unfortunately, we are unable to provide communal cremations for pets over 120 lbs. Pending your location we may have suggestions of who to call to help arrange to pick up of your pet for cremation or other alternatives.)


Please check with your local city or county regarding regulations for pet burial


Witnessed cremations are available should you prefer to attend and arrangements will be made with the crematory.


Palliative, Hospice Care, and Pain Management


During this visit, we will review and discuss your pet’s medical history, perform a complete physical examination, observe your pet in their home environment, discuss goals and expectations, and answer any specific questions you may have regarding your pet’s health. Upon completion of our visit a plan to address your pet’s specific needs will be presented. Please understand that Dr. Winnick does not provide testing or diagnostics. Should those services be desired you will need to seek the guidance of your primary care veterinarian.

Please allow at least two hours for the initial visit. The entire two hour period may not be necessary; however, it is important we not feel rushed during our discussion and assessment.

The initial visit will include, as appropriate, follow-up communication via email, video, or phone for one month. After this time, if appropriate for your pet’s situation, we will schedule a follow-up visit to continue on with care for your pet.

Any supplies or medications will be charged separately.

FOLLOW-UP VISIT ($95 – $185)

Follow up visits may be needed if you are observing any changes with your pet or their response to any prescribed medications.

Any concerns or questions you may have. You may simply need reassurance that your pet is continuing to experience a good quality of life.

Whatever the need may be, rest assured I am available to help you through this difficult time either through in-home visits, phone consultation or email.

Quality of Life Assessment Fees

This type of visit is valuable for families who simply need time and space to address the current quality of life concerns. We will discuss the expected changes that may occur due to your pet’s condition/illness and how to monitor by providing you tools to help arrive more clearly at an end of life decision. We will discuss how the end-of-life process occurs and any questions or concerns you may have related to this topic. We will not discuss in depth your pet’s current medical plan or recommend any adjustments to that. If you would prefer this is discussed, we should instead schedule a palliative, hospice care, and pain management visit.


This consultation is helpful for families that need a quick response and would like to have support or confirmation during their decision making process. Dr. Winnick will send her response to you via email typically in 24-48 hours after all the requested videos and information have been received. The consultation is via email and video only. The details will be discussed with you further at the time of scheduling.

**Please note that The American Veterinary Medical Association and the California Board of Veterinary Medicine require a physical examination for a veterinarian to diagnose and treat a medical condition and/or to prescribe medications. Due to this, Dr. Winnick cannot prescribe any medication, or recommend changes to your pet’s medical plan without an in person physical examination.

Cancellation Policy

While we do understand that cancellations are sometimes unavoidable, short notice cancellation limits our ability to help another family that is needing help during that scheduled time. When possible, please let us know of any changes with 24-hour notice. Because of travel and traffic in our area, if a doctor arrives or a cancellation request is less than 2 hours before the scheduled time we kindly reserve the right to charge the full cost of the visit ($450). If the cancellation is due to the natural death of your pet this fee will not be applied.

Please understand that this fee system is necessary for Peaceful Pathways to continue providing our excellent and reliable care.

Payment Policy

We accept cash, check (preferred method and can be prepared ahead to Peaceful Pathways) or major credit card.

**Now accepting payments with Zelle (must have this already set up with your banking institution and know your transfer limit will cover payment of all services we provide. We will not be able to split payment methods. Transfer can be made at the time of appointment to ensure correct total or you can email/text us to make sure you have correct total).

We are not able to accept Care Credit but financial assistance can be provided by ScratchPay.

Compassionate end-of-life care for your beloved companion

Peaceful Pathways is devoted to ensuring your pet's final chapter is written to include as much comfort and dignity as possible. Please see our service area map below. If you are outside of the area, please contact us for travel rates.

Service Area

San Francisco Peninsula and South Bay communities.
(Currently, we do not provide services in San Francisco City)

Extended travel is possible (may incur an additional fee).

Mailing Address

2625 Middlefield Rd #290
Palo Alto, CA 94306


Phone Hours
Mon - Fri: 8am - 5pm
Sat: 8am - 1pm

Appointment Hours
Mon - Fri: 9am - 5pm
Sat: 10am - 1:30pm