Portland Metro · By Appointment · IAAHPC Certified

When it is time, we come to you.

Threshold Veterinary Hospice provides in-home palliative care and family-attended euthanasia for the companion animals of Portland and the surrounding metro. Three veterinarians. One phone number. No clinic — we come to your house.

Call (503) 555-2840 See pricing →

If you are reading this because something is wrong tonight, please call us. The phone rings to one of us, not a service. We answer until 8 PM. After 8, leave a message — we'll call back first thing in the morning, or sooner if you ask us to.

(503) 555-2840
Hospice & Palliative Care

When the diagnosis is terminal but the time is not yet.

Hospice work is the long conversation. We come to your home for a first consultation, sit on the floor with your animal if that's where they are, and put together a plan for the weeks or months ahead. Pain management. Appetite support. Anti-nausea protocols. Mobility help. A way of watching the days that gives the family a real framework, not just intuition.

Most families do two to six visits over the course of a hospice. Visits run forty-five minutes to ninety. Between visits, the phone line is open — we answer with our own voices, seven days a week, eight to eight.

Read about our hospice work →
In-Home Euthanasia

When it is time. Family-attended. At home.

We allow ninety minutes for an at-home euthanasia visit, sometimes more. We do not rush. The animal is on their own bed, or your bed, or your lap, or in the back garden — wherever feels right.

The first injection is a sedative. It takes five to fifteen minutes to work, and it is the moment the suffering ends. Many families say their goodbyes here. Then an IV catheter while the animal is asleep, then a second injection that stops the heart within seconds. The animal feels nothing.

After, we stay. We listen with the stethoscope. We confirm. We give you as much time as you want. Some families want fifteen minutes. Some want an hour. Whatever you want.

Read about the visit, step by step →
Memorial Care & Keepsakes

After. Paw prints, fur clippings, cremation arrangements.

Every euthanasia visit includes a clay paw print, pressed carefully during the visit, and a clipping of fur in a small velvet pouch. If the family wants, we'll also take a single quiet photograph. Many decline; some are grateful.

Cremation is arranged through our partner Dignified Pet Services in Tualatin. Standard cremation with ashes returned runs $245 to $385 depending on size. Communal cremation, $135. By arrangement: glass orbs holding a clipping of fur, handmade urns, watercolor portraits — all by local Portland artists we've worked with for years.

Read about memorial care →
Our Doctors

Three veterinarians, one phone number.

Dr. Anna Lindqvist

Founder · DVM · CVHPC

Oregon State '04. Ten years of small-animal general practice in NE Portland before founding Threshold in 2019. IAAHPC-certified since 2020.

Her pet: Pearl, 14-year-old rescue mutt.

Read Anna's story →

Dr. Wendell Okafor

DVM · CVHPC

UC Davis '17. Five years of emergency medicine at a Portland 24-hour ER before transitioning to hospice in 2022. IAAHPC-certified.

His pets: Banks & Marigold, senior pit-mix rescues.

Read Wendell's story →

Dr. Mei Tanaka

DVM · CVHPC in progress

Washington State '19. Four years of feline-only practice in Seattle before joining Threshold in 2024. Special interest: cat hospice.

Her pets: Sora, Tofu, & Mochi.

Read Mei's story →
The Hardest Question

How do I know when it is time?

Most families know before they think they know. Most families wait a little longer than they should because they're still hoping, and hope is not a thing to apologize for. We can help you read the signs. We can also help you wait — there's no rush from our end.

The signs we watch for: loss of appetite that persists more than a day or two, loss of interest in the family (the dog who used to greet you at the door no longer doing so, the cat who used to come to bed no longer coming), difficulty rising, signs of pain that the current medication is no longer controlling, more bad days than good in a given week.

The framework we use with every hospice family is the Quality of Life Scale, sometimes called the HHHHHMM Scale, developed by Dr. Alice Villalobos. It is a guide, not a verdict. The point is not the number. The point is to take the question out of your gut, onto a piece of paper, where you can look at it together as a family.

We allow ninety minutes for an at-home euthanasia visit, sometimes more. We do not rush. We will sit on the floor with you. The animal is on their own bed, or your bed, or your lap, or in the back garden — wherever feels right. After, you may need a moment, or an hour. We have time.
— Dr. Anna Lindqvist, DVM, CVHPC · Founder
What It Costs

Posted plainly because you should not have to call to find out.

No. 01

In-home euthanasia visit

$485 inner service area · $565 outer service area

Includes the visit, all medications, the IV catheter, the time on-site for the family, paw print and fur clipping keepsakes, and coordination with the cremation partner if elected. Same price weekends and evenings — no surcharge.

No. 02

Hospice consultation

$295 first visit · $185 follow-up

First hospice consult is ninety minutes — full physical, comprehensive Quality of Life review, medication plan, written summary delivered the same day. Follow-up palliative visits run forty-five to sixty minutes; most families do two to six over the course of a hospice.

No. 03

Memorial care

Paw print + fur clipping included

Every euthanasia visit includes a clay paw print and a fur clipping in a velvet pouch. Cremation arrangements through our partner: $245 small dog or cat, $325 large dog, $385 extra-large, $135 communal (no ashes returned).

See full pricing →
Service Area · Portland Metro

We come to you.

Inner Service Area · $485

Sellwood · Hawthorne · Belmont · Alberta · Mississippi · St. Johns · Multnomah Village · Hollywood · Laurelhurst · Beaumont · NE Portland · SW Portland · downtown · close-in west.

Outer Service Area · $565

Beaverton · Tigard · Lake Oswego · West Linn · Milwaukie · Gresham · Hillsboro · Tualatin · Oregon City · Wilsonville · Sherwood.

We try to schedule visits within 24 to 48 hours. For families in active hospice or with a same-day urgent need, we will reschedule to come sooner whenever we can.

After Hours · Active Distress

If your animal is in active distress and the morning is too far away, call DoveLewis Emergency Animal Hospital in NW Portland — open 24/7 at (503) 228-7281 — or VCA Northwest Veterinary Specialists in Clackamas, also open 24/7.