We recently made the heartbreaking decision to say goodbye to our beloved cat Simba, who was 16…read moreyears old and suffering from progressive kidney disease that had taken away her appetite and her quality of life. Choosing in-home euthanasia was difficult, but Peaceful Pathways made it as gentle and peaceful an experience as we could have hoped for. From our very first phone call, Amy was warm, patient, and genuinely caring as she helped us set up the appointment. We weren't sure we were making the right decision, and she answered all our questions with kindness and reassurance during a really uncertain time. When Dr. Jenn Winnick arrived, her compassion was immediately evident. She took the time to explain everything and assured us we were doing the right thing for Simba. She treated Simba with such gentle care and created a calm, loving atmosphere for her final moments. Her kindness turned an unbearably sad day into one filled with peace and dignity for our sweet girl. We are forever grateful to Dr. Winnick and Amy for helping us say goodbye to Simba in the comfort of her own home, surrounded by love. If you're facing this difficult decision, I cannot recommend Peaceful Pathways highly enough.

Dr. Winnick was very respectful and did a great job. Porter was treated with kindness and respect…read moreand we appreciate all that she did. Porter is in heaven now and we thank PP and Dr Winnick.

Dr. Brian & Jenn are the essence of empathy and action. They helped assess our dog's quality of…read morelife and helped ease his transition across the rainbow bridge. He had a brain tumor, and on his last day, he couldn't stand up, eat, or drink. Brian & Jenn were able to miraculously make space in their schedules, despite having so many clients to care for that day, in order to help our dog on his day of need. It would have been a tough night otherwise. We are so grateful for their kindness and commitment. It's clear how much they care for animals and for the humans who look after them. Thank you. One important note: Brian, Jenn, and other doctors who help with end-of-life care for animals often have busy schedules booked a few days in advance. It's very important to have a few doctors in mind just in case your preferred doctor(s) are not available on your day of need. Ask Brian & Jenn's office for a list of referrals if that happens.

We had a quality of life assessment for our senior dog last summer with Dr Brian. He gave us a lot…read moreof useful information and wanted to follow up with some medication and in office tests. When I contacted his office I was unable to secure a time to pick up the medication or schedule an appointment. My voice messages and emails largely went unanswered. The biggest shock was receiving an invoice today (7 months later) for the medication I never received. The invoice even included a finance charge. Thankfully there are better options for senior dog care in San Francisco.

Our family thanks Restful Paws and Dr. Chueng for their profoundly compassionate and considerate…read moreapproach in giving our pet a dignified and peaceful closure. Dr. Chueng was patient and unrushed in her conversations and attitude towards the family and pet. We strongly recommend Restful Paws and are grateful for their important service!

This is the review I have been holding off for a while…read more Today marks 6 months since we used this service. This has been the most difficult and saddest decision we've had to make. When I contacted Restful Paws, I didn't know what to expect. In fact, I felt bad crying on the phone because I couldn't imagine trying to talk to someone like me at that moment. But the staff couldn't be more understanding and supportive. Unlike making end of life decisions for your fur baby, the process of scheduling this appointment was very easy. Restful Paws asked all the right questions, set the expectations, and made this process that much easier. And on the day of, Dr. Ami arrived promptly at the scheduled time. She was very caring and understanding, and she put all of us at ease. We could not have asked for a better last day for our Sodapop. I'm thankful that we reached out to restful pause, and grateful that they were able to come to our house to help us get through this phase. Weeks later, we received a card from Dr. Ami sending us her condolences. Thank you, Restful Paws, for doing the service that you do. I'm sure it's not easy, and I can only imagine how sad it is to do this on a daily basis. Thank you so much!

Dr Araba is beyond impressive. She combines deep knowledge, humorous communication and seasoned dog…read moreengagement. Dr. Araba and her skilled technician Jennifer visited us today for the 1st Vet appt of our 12-wk old Great Pyrenees puppy. We had many questions ready, but her New Puppy Topics sheet and detailed verbal share answered all of our questions, and of course, all of the questions we didn't even know to ask. She was ready to explain vaccination Qs for travel (LA, valley, Tahoe. as well as planned international), grooming, micro-chipping, et al. Finally, we have a very experienced dog-trainer in our group and Dr. Araba was able to connect his expertise to her own recommendations, also bridging the gap for my own dated dog-raising history. Cannot recommend her enough. We're looking forward to enjoying the support of Dr. Araba as our puppy heads from 16 lb to 95 lb!!

We were referred to Blue Sparrow by a veterinarian at SF AMC after finding out that my sweet soul…read moredog of 14 years had a baseball sized tumor on his liver. We contacted Blue Sparrow immediately after accepting the fact that we'd be starting hospice care for my dog and could lose him any time. Due to the placement of his tumor, we decided that we needed a veterinarian to come to our home as we didn't want to risk putting him into the car. Immediately after the first appointment, Dr. Araba recommended a series of supplements that relieved his joint pain, and brought him back to a higher quality of life. In fact, we got nearly 20 additional months with him after having him see Dr. Araba for the first time. While it's sad to know that Tiger has crossed the rainbow bridge, I find comfort in knowing that I chose a veterinarian + staff that provided him the highest level of care and compassion. In fact, Tiger would even jump around and be excited at Dr. Araba's arrival for his regular appointment. Everyone at this practice cares SO much about the well being of your furry friend. I can't recommend them enough. Know your loved one is in good hands if they're being seen by Blue Sparrow!

Euthanasia is never a choice you want to make. But when it becomes necessary, in-home euthanasia is…read morethe way to go. It's far less traumatic for your pet. They do not have the anxiety that comes with going to the vet for any reason. They are comfortable, in their own home, with their favorite people. It's also easier for their caretaker. You have time to process. You don't have to jump out of the room for the next appointment, deal with the mundane of payment on the way out, this is taken care of in advance of your appointment. Specifically, Dr Chrissy is very kind. She cares for your beloved companion but also the caretakers. She guides you gently through the process.

Dr Metzger was a wonderful teacher and usher for my beloved Izzy cat's euthanasia event. She had…read morethe right amount of kindness, authority, and patience to make this experience, which was the first for my husband and son, as peaceful as possible. We truly appreciated that and talked about it afterwards. I will contact my vet in SF (Dr Wolfe at Arguello Pet Hospital) and be sure they know about Act of Love and the gentle care we received, and I suggest all do the same. My vet gave me a website for another service. We didn't choose that service but found Act of Love in their list of other services.

After 16 wonderful years, it was time to say goodbye to my beloved dog, Bear…read more When the dreadful day arrived, Bear did not feel any stress. It was just like any other day that he was sleeping in on my bed. Dr. Ma made sure I had time to spend with Bear every step of the process. Bear and I are fortunate and grateful to have found Dr. Ma. Every small gesture revealed how much she truly cares. She is gifted with the grace and compassion to handle such heavy grief. Thank you for offering such an invaluable and heartfelt service.

Dr. Ma made, what is a horrific experience for any pet owner, as loving and compassionate as…read morehumanly possible. I am so grateful to Dr. Ma for her kindness and care during the euthanasia process. We had to say goodbye to my sweet Chloe, the most beautiful kitty, and while my heart is still broken, her services meant everything. While I do not hope to need her services again any time soon, I know who to call when I do. Thank you for all you do, Dr. Ma.

I really appreciated Dr. Jeni's sensitivity and thoughtfulness when she gave us all the hospice…read moreoptions for our dear cat. She has one of the most difficult jobs around for people who pets are almost like furry family members. I highly recommend Dr. Jeni. She is wonderful.

Dr. Jeni is so in-tuned to what grieving pet-families are going through--she instantly feels like…read morefamily. She arrived at my sister's home while our family was all together surrounding our beloved Kain, while he was still with us. She right away knew how sacred and emotional this time was for us. She checked in with our every need and explained everything that was going to happen, step by step, and with so much gentleness and compassion. She stayed with us while we cried and sobbed as we said goodbye. And she brought a darling gurney, with a pillow and blanket where Kain could rest in a dignified way (after he passed). She was so generous and patient with her heart and time, and stayed with us as we continued with our "memorial" time together. And when it was time for her to take Kain, she had a very beautiful and honoring space in her car for him, that touched our hearts in the most beautiful and comforting way. She promised she would be the one to deliver Kain's ashes, and she did... We were very blessed to have Dr. Jeni be a part of our sacred farewell and help Kain cross over with so much gentleness and love. Thank you Dr. Jeni!

At an incredibly painful time, Dr. Katrina Flinn came to my home and put my precious little Stella…read moreto sleep. She was kind, compassionate and cared for me, my other little dog who what present throughout and of course my dearest fifteen year old Maltipoo, Stella. I highly recommend her should you find yourself having to make one of the hardest decisions ever to help your beloved pet move on to the next phase of their journey. She was truly a blessing.

Very professional. Very caring and empathetic. They made a difficult process a little bit easier…read more Would highly recommend to others.

Cats CAN get UTI's, and mine is dead because he said they can't…read more This review needs to have at least 85 characters so I've added several.

Dr. Lum was recommended by a friend who used to foster old cats when my 18 yr old cat was on her…read morelast days. He was very kind especially since my husband had such a hard time making the decision. He knew it was the right decision and did not try to sell us on pointless tests. He only does house calls at the moment but we were so impressed with his kindness and caring we scheduled him to come give our 13 years old dachshund his shots and annual exams. He was great and I only have the highest praise for him. He can't do everything like dental but he will give you his honest opinion in an easy way for you to understand. If you don't want to just drop off your pet at a vet during Covid this is a great option.

Dr. Dilchert came to our house in December 2025 to help us say goodbye to our beloved elderly…read morestandard poodle. Her compassion, patience and expertise made the euthanization process as peaceful as possible. End-of-life decisions are never easy! But this felt like the most gentle way to let him go after his struggle with cancer.

I was so pleased to find a vet who makes house calls. Dr Dilchert has a holistic approach to pet…read morewellness but also provides traditional veterinary care. She has been a blessing, especially now that my labrador, Skipper, is in his last phase of life.