Virtual Quality of Life Consult

Compassionate Telehospice Support

When you are unsure whether it is time for palliative care or euthanasia, a Virtual Quality of Life Consult gives you compassionate, practical guidance from home. Boston Twilight Veterinary offers telehospice support so you can speak with an end-of-life veterinarian by video or phone, review your pet’s day-to-day comfort, and make a plan that matches your values. This service is designed for families who want clarity without the stress of a clinic visit and for pets who are most comfortable in their familiar space.

Scope of Care

This is decision support, not a medical exam. We do not diagnose conditions or prescribe during a Virtual Quality of Life Consult. Instead, we translate symptoms into plain language and outline options: in-home palliative care to improve comfort, a watchful waiting period with specific checkpoints, or a peaceful in-home euthanasia when suffering outweighs joy. If we recommend seeing your primary veterinarian or an emergency hospital, we will say so clearly. Our telehospice goal is to help you feel informed, supported, and ready for next steps.

After your Virtual Quality of Life Consult, you will receive a summary of the key indicators we discussed and simple tracking ideas, such as a daily comfort log or a good-days versus bad-days calendar. Many families find that a small change in routine can help right away. Others appreciate a clear pathway for in-home palliative care with follow-ups as needs evolve. If the kindest option is euthanasia, we will explain the process gently and outline aftercare choices, maintaining your pet’s dignity at every step. Throughout, our telehospice approach centers empathy, transparency, and the unique bond you share with your companion.

What To Expect

Your Virtual Quality of Life Consult begins with a focused history and a discussion of the changes you are seeing. We will talk through appetite, hydration, mobility, breathing, toileting, sleep quality, pain indicators, anxiety, and the balance of good days to bad days. With telehospice tools, we help you observe your pet’s posture, gait, and interactions on camera, and we ask about medications and recent veterinary findings. You will receive honest, kind feedback on what your pet may be experiencing and what to monitor next.

Who Benefits

Families balancing complex feelings, pets who become stressed by travel, and anyone seeking an experienced, nonjudgmental perspective. This service is especially helpful when multiple family members need to join from different locations. Because we provide telehospice guidance, we can meet you where you are, listen carefully, and give clear, stepwise recommendations you can trust.

Scheduling is simple. We offer set times for same-week appointments whenever possible. Please have your pet’s current medications, recent test results, and your top three concerns ready. Call or text 857-389-9991 to schedule; text is often fastest for coordination.

Frequently Asked Questions

  • A Virtual Quality of Life Consult is a 30-minute video or phone appointment focused on comfort, daily function, and goals of care. It is a telehospice conversation that helps you decide between watchful waiting, in-home palliative care, or in-home euthanasia.

  • No. A Virtual Quality of Life Consult offers decision support and education. We do not diagnose new conditions or prescribe medications during telehospice appointments. If medical treatment is needed, we will direct you to your primary veterinarian or an emergency facility.

  • Have your pet’s age, diagnoses, current medications and dosages, recent lab results or imaging summaries, and examples of good and bad days. Short videos of walking, breathing, or eating can be helpful for telehospice review.

  • We use quality-of-life indicators such as pain control, appetite, hydration, mobility, breathing ease, hygiene, sleep, and engagement. During the Virtual Quality of Life Consult, we weigh these together and discuss your values to arrive at a kind, informed plan.

  • You will leave with next steps. This may include scheduling in-home palliative care, monitoring specific signs with a checklist, or arranging a peaceful in-home euthanasia when appropriate. We can also coordinate aftercare and memorial options.

  • Yes. Telehospice makes it easy for relatives to join the call from separate locations so everyone hears the same guidance and can ask questions.

  • Contact Us. Text is often quickest. Please include your pet’s medications and top concerns so we can prepare for your Virtual Quality of Life Consult.

Payment Information


Payment is due at the time of service. Dr. Kim will collect payment prior to the procedure.

Payment types accepted:



Unfortunately we are unable to accept CareCredit or payment plan options at this time.

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Get in Touch

Call or text*: 857-389-9991

*text preferred, due to the sensitive nature of Dr. Kim’s work

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