End-of-Life Consultations & Pet Hospice Support – In-Person in New York, Virtual Worldwide
Compassionate guidance to help you make the most loving decision
You can book a virtual Quality of Life Consultation here →
Gentle guidance for difficult decisions
When your beloved companion is aging or facing a serious illness, every day can bring new questions.
Is it time to say goodbye?
Can we keep them comfortable for a while longer?
What’s the most peaceful path forward?
At Peaceful Transitions, we’re here to walk beside you through these questions — offering clarity, emotional support, and holistic care options tailored to your pet’s unique needs
What happens when you book
Together, we’ll create a customized plan that reflects your pet’s unique needs and your values — whether that means focusing on comfort care for a little longer or gently saying goodbye.
You’ll feel more at ease about what’s ahead, never rushed or pressured, and fully supported as you prepare for (or pause within) one of life’s most sacred moments.
We are here to walk with you, not decide for you.
Book using the Calendy links below, or contact us today →
The processs
Choose your consultation and book your appointment online or by phone.
Not sure if the time is right?
It’s okay to feel unsure. Our free Peaceful Transitions guide walks you through the questions that matter, so you can make choices that feel right for you and your dog.
Download our gentle guide to help you think things through.
The Support You Need
🩺 1. Quality of Life Consultation
You don’t have to know if it’s time.
That is what this consultation is for. A gentle, honest look at your pet’s comfort and quality of life, so you can make decisions with clarity instead of fear.
What this is
If you are unsure whether your pet is nearing the end or could still benefit from continued care, this appointment offers clarity and loving next-step guidance. No pressure in either direction. We are here to walk with you, not decide for you.
Two ways to meet
We offer this consultation in two formats. The right one depends on whether you would like a virtual conversation or a hands-on visit from a veterinarian.
Video consultation with Natalie ($149)
A 45-minute video appointment with Natalie, our Certified Holistic Pet Health Coach, from wherever you are. This is a supportive, guidance-focused conversation. During your appointment, Natalie will:
- Review your pet’s history, medications, and current condition
- Listen to your concerns, observations, and questions, with warmth and without judgment
- Help you gently assess your pet’s overall comfort and quality of life
- Talk through your options. Natalie may suggest natural remedies to support your pet’s comfort, and she can connect you with our veterinarians for a palliative care plan, or a home euthanasia if the time feels near.
In-home visit with a veterinarian ($449)
A visit from one of our veterinarians, as availability allows, including a hands-on examination of your pet. Travel fees may apply based on your location. During your visit, your veterinarian will:
- Examine your pet and review their history, medications, and current condition
- Listen to your concerns and answer your questions
- Assess your pet’s comfort and quality of life in person
- Talk through your options. The doctor may suggest a palliative care appointment if continued support is an option or a home euthanasia if the time feels near.
A note about the fee
If your video consultation with Natalie leads to a home euthanasia with us, we credit $50 toward that visit. If your in-home Quality of Life consult moves to a home euthanasia the same day, you are charged for the euthanasia plus a $50 exam fee, not for two full visits. And if you decide on a home euthanasia with us on a later day, we credit $50 of your consultation toward that visit.
Meet Natalie
Natalie Lampas is a Certified Holistic Pet Health Coach, Certified Professional Canine Nutritionist, and Certified Animal Aromatherapist, with advanced training in canine herbalism and TCVM food therapy. She guides families through serious illness and age-related decline with warmth and deep knowledge, helping them focus on comfort, nutrition, and quality of life. Families leave her appointments feeling heard, supported, and clear about what comes next.
📱 Call or text: (631) 529-6922 and a caring coordinator will help schedule an appointment.
And if you simply want a place to start today, there is a free 7-question assessment on our homepage. It takes about 3 minutes, you can take the quiz here.
She made sure to include my older children who wanted to be there for their dog. She has such grace in this situation and made sure to give us our space and time alone as Diamond fell asleep so we could all say goodbye.
Kristen is also a delight to work with while scheduling and details. I would highly recommend peaceful transitions.
Knowing our dog was comfortable when we had to make the hardest decision meant everything to me and my children.
🌸 2. Palliative Care Consultation
$350 virtual or $650 in-home as available
For pets with chronic illness or aging-related discomfort, not yet ready to transition.
Palliative care focuses on comfort, symptom management, and emotional well-being for pets who are still engaged in life — even if they are living with terminal illness or advanced age.
During this comprehensive consultation, our doctors will:
- Review your pet’s medical and emotional history
- Assess their mobility, appetite, pain levels, and general quality of life
- Offer integrative solutions — including herbs, supplements, gentle medications, mobility support, energy work, and more
- Create a customized comfort care plan
- Support you emotionally, helping you tune into your pet’s changing needs with confidence and clarity
This is ideal for guardians who want to make their pet’s last chapter as comfortable and connected as possible.
However, she made a very emotional situation much less stressful, we are thankful for her and in good faith highly recommend her services.
🕊️ 3. Hospice Support Consultation
$250 virtual or $449 in-home (as available)
For pets who are nearing transition and need comfort-focused care
Hospice care is offered when your pet is likely in their final days to weeks of life. While euthanasia may not yet be scheduled, the goal is to create deep comfort and emotional presence — for both the pet and the guardian.
In this sacred support session, our doctor will:
- Assess your pet’s condition and readiness for transition
- Provide guidance for symptom relief, comfort positioning, and emotional support
- Discuss how to prepare for the euthanasia process (if/when it becomes necessary)
- Help you co-create a sacred, personalized transition plan, including ideas for ceremony and memory-making.
- Offer spiritual and energetic support for both pet and guardian
Hospice is not about “doing nothing” — it’s about doing what matters most: being present, relieving suffering, and honoring your pet every step of the way.
Dr Loudon was so understanding, kind and compassionate, to both our pet and our family.
She gently helped us through each step, giving us the time we needed. We are grateful to her, for being the wonderful person she is, helping families, and animals truly transition peacefully.
Thank you.
FAQ
How do I know which consultation to choose?
Are these virtual or in-person?
Do you support species other than dogs and cats?
While we do offer gentle in-home euthanasia services for some small mammals and birds, our comfort care guidance is currently limited to canine and feline patients
📍
Our in-home euthanasia service covers the following areas:
Nassau County, Suffolk County, Queens, Brooklyn, Staten Island, & New York City
🌎 Supporting services are offered remotely to you anywhere in the world.
You don’t have to walk this path alone.
We’re here with compassion, clarity, and care – guiding you and your pet every step of the way.
