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In-Home Pet Euthanasia – St. Louis, MO

In Home Euthanasia in
St. Louis

Serving the Greater St. Louis Area

Services & Pricing

Saying goodbye to a beloved pet is never easy. Our comfort-focused team and veterinarians are here to gently guide you through in-home euthanasia and aftercare options, ensuring your pet is treated with dignity, compassion, and respect. We proudly partner with trusted local crematoriums to provide thoughtful, dignified care following your pet’s passing.

Below is a clear overview of our in-home euthanasia services and pricing to help you make the best decision for your family and your pet.

In Home Euthanasia Appointment

Home with Dignity provides compassionate in-home euthanasia in St. Louis, allowing your pet to pass peacefully at home with gentle, unhurried care from comfort-focused veterinarians.

What's included?

  • In home visit
  • Gentle and peaceful euthanasia procedure
  • Transportation fees (unless out of service area)
  • Lock of fur in memorial pouch
  • Pet loss support

Appointment Pricing:

  • No Transport (home burial, no aftercare) - $370
  • 0-49 lbs - $415
  • 50-99 lbs - $440
  • 100+ - $450

*Additional fees may apply for cremation and aftercare.

*For exotics pets such as rabbits and guinea pigs, please call for pricing and availability. We are unable to assist with any reptiles.

Additional Costs:

  • Out of Area - $100
  • Afterhours - $100
  • Weekends - $30
  • Same-Day Cancellation - $100

Below is a clear overview of our cremation and aftercare services and pricing to help you make the best decision for your family and your pet.

Communal Cremation - $160

Communal cremation offers a respectful option in which your pet is cared for alongside other beloved pets. While cremated remains are not returned with this choice, many families find comfort in selecting a meaningful memorial keepsake, such as a clay pawprint, to honor their pet’s memory.

Private Cremation - $310

Private cremation allows you to bring your pet’s cremated remains home as a lasting and personal way to honor their life. Your pet is cared for individually throughout the cremation process, ensuring their remains are returned to you with the utmost respect and dignity.

  • Your pet’s cremated remains, lovingly returned to you
  • A selection of six complimentary urns to choose from

Keepsake Packages

Many families find comfort in having a tangible remembrance to honor their pet’s life and the bond you shared. Our Keepsake Packages are thoughtfully curated and available at a bundled, discounted rate when selected together. These packages may be added to any appointment type.

Some of our keepsake packages can be customized to reflect your family’s wishes. For example, two ink paw prints or a clay paw print paired with an ink nose print. Please call to speak with a Care Coordinator so we can help you choose the option that feels most meaningful.

Remembrance Package - $102

Includes:

  • Ink paw print
  • Ink nose

Memorial Package - $106

Includes:

  • Clay paw print
  • Ink paw print

Legacy Package - $111

Includes:

  • Two clay paw prints

Memorial Items & Upgraded Urn Options

We offer stand alone and additional memorial items that can be added to help you honor your pet in a personal and meaningful way.

  • Clay paw print - $65
  • Ink nose or paw print - $60
  • Urn personalization with 1-3 lines of text - $40-$80 (nameplate, engraving, or etching)
  • Upgraded Keepsake options - $300+

*You can visit Trusted Journey to view a wide variety of unique options and let our care team know what you would prefer.

*All cremated remains & memorial items will be available for pick-up at Trusted Journey between 7-10 business days. You can choose to have all cremated remains & memorial items shipped to you for an additional fee.

Please call our office for more information.

There’s no "right" way to say goodbye, only what feels right for your family. Our team will support you in choosing aftercare and cremation options that honor your pet.

We aim to make this experience as calm and supportive as possible. For that reason, payment is arranged over the phone prior to your appointment, allowing your time together to remain peaceful and uninterrupted.

We Accept: All Credit Cards, Debit Cards & CareCredit

Sorry: No Checks or Cash

About Us

Home with Dignity provides compassionate in-home pet euthanasia and end-of-life care in the St. Louis metropolitan area. From your first call, you’ll be supported by a dedicated Care Coordinator who listens, answers questions, and helps guide you through next steps with empathy and patience. Our veterinarians specialize in comfort-focused, at-home euthanasia, offering gentle, unhurried care in the peace and familiarity of your home.

Services we provide on end-of-life planning include:

In Home Euthanasia

Cremation & Aftercare

Teleadvice

In Home Consultation

When the difficult days begin to outnumber the good, the kindest gift we can offer our pets is peace. In-home euthanasia allows your pet to remain in the comfort of familiar surroundings, surrounded by love and free from fear or stress.

Our compassionate veterinarians provide gentle, unhurried care, helping you say goodbye with dignity, tenderness, and love.

View Our Pricing

How does our in home euthanasia process work?

1. When our doctor arrives

The doctor will get to know you and your pet, perform a short assessment of your pet's health, and answer any questions you may have surrounding in home euthanasia. The process can take place indoors or outdoors, wherever your pet is most comfortable.

2. When you are ready & your pet is resting peacefully

The doctor will administer an appropriate level of sedation to let them sleep and ease their pain or discomfort.

After your pet is resting peacefully, a simple injectable euthanasia solution will be given and your pet will gently drift into their peaceful transition.

3. After your pet has peacefully crossed the rainbow bridge

You and your family will be given privacy to say your final goodbyes - this is not rushed, and you can take as much time as you need. When you are ready, the doctor will come in and speak with you about the aftercare of your pet.

4. If we are handling the aftercare

After you have said your goodbyes, if we are handling the aftercare, the doctor will come in with either a blanket or stretcher to place your pet in their vehicle to transport them to the crematorium. They will go through the process with you and provide you with information on how and when your pet's ashes will be ready to come home.

Why in home euthanasia?

Flexible & same-day availability

Peaceful environment, surrounded by family

Allows other pets to say goodbye

Private grieving process

There’s no "right" way to say goodbye, only what feels right for your family. Our team will support you in choosing aftercare and cremation options that honor your pet.

We aim to make this experience as calm and supportive as possible. For that reason, payment is arranged over the phone prior to your appointment, allowing your time together to remain peaceful and uninterrupted.

We Accept: All Credit Cards, Debit Cards & CareCredit

Sorry: No Checks or Cash

In Home Euthanasia in St. Louis

Home with Dignity provides compassionate in-home pet euthanasia in St. Louis and surrounding communities, allowing pets to remain in the comfort and familiarity of home during their final moments.

Areas We Commonly Serve

We regularly provide at-home pet euthanasia services in

  • St. Louis
  • University City
  • Florissant
  • Bridgeton
  • St. Charles
  • St. Peters
  • Weldon Springs
  • Maryland Heights
  • Chesterfield
  • Wildwood
  • Kirkwood
  • Affton
  • Arnold
  • Imperial
  • Festus
  • High Ridge

If you do not see your community listed, please contact us. We may still be able to accommodate your location.

Travel and Scheduling

To ensure every family receives the time and space they deserve, we thoughtfully coordinate our travel throughout the region.

A $100 travel fee may apply for homes located outside our primary St. Louis service area. If you are unsure whether your address falls within our standard coverage zone, our Care Coordinators are happy to confirm availability and review any travel considerations with you.

Frequently Asked Questions

Do you travel outside St. Louis?
We primarily serve the St. Louis metropolitan area and nearby communities. Depending on distance and availability, we may be able to accommodate surrounding areas.

How do I know if a travel fee applies?
Travel fees are based on distance from our primary service zone. Our Care Coordinators can quickly confirm this when you call or text.

Will care be different if I live farther away?
No. Every family receives the same compassionate, unhurried care regardless of location.

When you’re ready, our team is here to guide and support you with compassion and care.

Our Veterinarians

T. Regan Birkner, DVM

Dr. T. Regan Birkner grew up feeling that he was meant to help people and realized in school with his interests and abilities, that veterinary medicine could be a good fit. With his love of science and nature, Dr. Birkner dedicated himself to becoming a veterinarian working hard to achieve his goals. He has been practicing companion animal veterinary medicine since 2006.

Dr. Birkner and his wife, Laura, married in 2004. After graduation in 2006 from The University of Missouri College of Veterinary Medicine, they spent eight years in Joplin, MO where their two children, Caroline and Adrian were born. They relocated to St. Louis in 2014 where Laura’s family is from with their then new American Brittany puppy, Maggie. Dr. Birkner then taught at a veterinary technology program for about six months before returning to private practice for the last seven years.

Veterinary medicine has been a calling for Dr. Birkner, and in-home end of life care for pets is his second calling and he looks forward to connecting with each family that he meets.