A Quality of Life Assessment (QOL) is a mid-level examination done by the veterinarian in the pet’s home or in clinic.  This appointment is appropriate when you just don’t know which direction to take.  Is it time? Can more be done (…or, should more be done?) The veterinarian will assist you through the decision making process based upon the assessment of your pet and the progression of the disease.  This appointment may include medications being prescribed (at additional cost), medical care (at additional cost), or euthanasia during the initial QOL appointment (included in cost.) Aftercare may be provided at additional cost, if desired.  If a second appointment is needed for euthanasia, the standard euthanasia fee will be charged.