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Dr. Alexis Tischler DVM, CHPV


Long Island's Only Certified Hospice Veterinarian


Dr. Alexis Tischler was born and raised in Massapequa, Long Island, NY.

She attended Cornell University in Ithaca, N.Y. where she obtained a Bachelor’s degree in Animal Science and

Master’s degree in Teaching with a dual certification in both Biology and Agriculture.


She then attended Colorado State University in pursuit of her lifelong dream of becoming a veterinarian. While attending CSU, she served as a manager and volunteer for their Pet Hospice Program from 2013-2016 & has known since her early years of veterinary school that her true calling was to work in end-of-life veterinary care. She has always found herself the most fulfilled by being able to help owners during the most delicate time of their beloved pet’s life.  She has a true passion for comforting owners through this difficult process and guiding families on deciding "when"

as much as she is honored to peacefully assist her clients' beloved pets.

She will discuss your pet's current condition and fully discuss where the condition may progress to next.

Owners find chatting with Dr. Alexis to be informative, reflective and comforting.


After graduating, Dr. Alexis became one of currently only 215 veterinarians in the World who are fully trained and certified in animal hospice and palliative care by the International Association of Animal Hospice and Palliative Care (IAAHPC) & she is also certified by the Companion Animal Euthanasia Training Academy (CAETA) where she acquired very specific skills in humane home euthanasia techniques.  These certifications are 1.5 years of advanced veterinary training specific to geriatric conditions, pain management as well as peaceful techniques for euthanasia within a home setting. 

She is currently the only Veterinarian on Long Island with these unique credentials and a special interest/certification (CHPV) in Animal Hospice and Palliative Care/Home Euthanasia.

(As recognized on

She worked in Colorado for two years following graduation and she has compassionately assisted over 2,000 beloved pets with gentle and peaceful home euthanasia.  While in Colorado, she worked for the very first Home Euthanasia company,

which pioneered this very delicate line of work. 

When it comes to compassionate home euthanasia, Dr. Alexis is truly an expert in her field and offers Long Island families the most comprehensive option for End -of-Life Veterinary Care.


Dr. Alexis firmly believes that the key to an animal's quality of life is supportive client communication.

She prides herself on being available for her clients and all communication is directly with her.  She does not have a receptionist and does not utilize call center operators as she wants to be able to address your important questions and biggest concerns from the very start.  This helps to make this delicate process as comforting as possible for everyone involved.  She chooses quality care over a quantity of appointments and your family and beloved pet will always feel like her top priority.

After working for larger companies, Dr. Alexis is so honored to be back home in New York where she can practice authentically, compassionately and in a more personalized fashion.  She is hoping to make Long Island as pet friendly as she found Colorado to be, starting with bringing Certified Animal Hospice and Palliative Care home to Long Island.  Pets are certainly family and providing compassionate End-of-Life Veterinary Care right in the comfort of home is one of the best gifts we can give to our cherished companions after their loyal journey by our sides.


In her spare time, Dr. Alexis makes the most of her New York lifestyle by putting some time aside for cooking and shopping. She currently lives in Farmingdale with her husband, Paul, and their mini zoo which includes their senior and special needs dogs (Letty, FroYo, Mai and Moira Rose), two cats (Simba and Chubbs), dumerils boa (Shenron), and their playful chinchilla (Olive).

She is passionate about this delicate like of work and believes that is is not to be taken lightly.

Dr. Alexis' goal is to build awareness of the importance of the IAAHPC Certification and CHPV credentials when a family is seeking the most peaceful and comprehensive End-of-Life Veterinary Care for their beloved pet as well as support for the entire family including children and other pets.  CHPV Veterinarians are the AVMA preferred End-of-Life Veterinary Care providers as these veterinarians have the mastery skill set to provide peaceful home euthanasia when operating alone in the field. 


**Dr. Alexis discusses this important certification often because she believes families deserve the right to know

the exact care they will be receiving for their delicate pet, especially in a home setting.**

Dr. Alexis firmly believes in quality veterinary care over quantity of appointments.  She truly cares about you and your pet.

She is very thankful and honored to now be able to serve New York pets & their loving families across

Nassau County and Suffolk County, all the way out to the East End.


Companion Animal Euthinasia Training Academy Logo
American Veteriary Medical Association Logo


Why Comforted Companions

is the best option for your family?

Comforted Companions Veterinary Care strives to provide the most compassionate, comprehensive and professional at-home, end-of-life veterinary services to all Long Island families.


We are your small, local, private, personalized and

most importantly, the only IAAHPC Certified

Veterinary Hospice/Home Euthanasia option in the Long Island area.


Deciding which service to choose for your beloved pet can be overwhelming. 

Dr. Alexis has made her website very informative and transparent for families researching home euthanasia in the Long Island area.

Her Google Reviews speak volumes all on their own and she encourages your family to read these to learn what actual clients are saying

about their compassionate experience.


In addition to the following paragraphs,

please read the bulleted points below

which list standards of care

which are completely unique to Comforted Companions.  


Dr. Alexis truly enjoys making this entire process

easier for your family and most importantly, your pet.  Based on feedback from her many clients, she believes that one phone call with her will make your decision to use her service an easy one during this entire process.

While there are various options for companies which provide non-certified hospice/euthanasia services, we believe in Certified Veterinary Hospice/Euthanasia Care and will always remain true to our belief in compassionate, quality care over quantity of appointments.


Our commitment to you and your pet is to utilize the most gentle and peaceful up-to-date methods, including FULL sedation, not simply a mild sedative.

(Dr. Alexis follows strict guidelines for home euthanasia)

Our appointments will never feel like a business transaction.

You will never have to enter your Zip Code on our website as we are a one-of-a-kind local service and

we treat your pet like family and the one-of-a-kind companion that he/she is...


We do not follow a one-fits-all-approach and

each appointment is customized

for your pet's current health status and your family's wishes

for aftercare and keepsake items.

**Customizing and modifying each appointment and sedation/anesthesia protocol for each individual patient's needs is so important for the overall experience and to allow for the most peaceful transition possible.**

We proudly serve all of Long Island from the Nassau/Queens border,

all the way to the East End. 

Dr. Alexis is pleased to address any and all questions you may have concerning your pets well-being.  With Comforted Companions you will never feel rushed or pressured to make a decision that you are not comfortable with & should you decide that you are not quite ready to say goodbye just yet, Dr. Alexis can help you decide on the time that would be more appropriate based on your pet/s current health status.

Each service offered by Comforted Companions Veterinary Care

is provided with the following unique standards of care:

  • Compassionate and customized care by the Only Certified Hospice Veterinarian (CHPV) on Long Island.  There are currently only 215 CHPV Vets in the World.  These Vets are the only veterinarians fully trained in End-of-Life Veterinary Care, euthanasia within a home setting and geriatric care.  See our solo Long Island listing at 

  • Currently the only AVMA preferred End-of-Life Veterinary Care service on Long Island.

  • Dr. Alexis has been nominated as of September 2020 for Best Veterinarian on Long Island in the Bethpage Best of Long Island 2021 Contest

  • Compassionate, step-wise, Fear Free approach appointments which are roughly 1 - 1.5 hours at the home

  • We offer fair and competitive pricing compared to Corporate/Nationwide/Non-Certified Options to help reduce family stress during an already difficult time...

  • Always communicate directly with Dr. Alexis from first contact through final appointment.   Dr. Alexis always provides FREE phone consults in order to allow you to get to know her prior to her arrival to your home 

  • Expertise in palliative & hospice care backed by an internationally recognized certification and experience with compassionately assisting over 2,000 families with peaceful End-of-Life Veterinary Care

  • A unique, small, local, non-corporate/non-nationwide, privately owned Long Island grown business

  • Complementary comfort gift & Dr. Alexis' self-authored Pet Loss Support Booklet for each family

  • Multiple paw print and fur clipping keep sake options 

  • Handouts and resources provided for families regarding children and pet loss and addressing other pets in the home

  • Flexible days/hours 

  • Social Media memorial posts to honor each pet individually

  • Partnership with a local pet loss support specialist to ensure families receive the most complete care and assistance, even after the passing of a beloved pet. (Please see Grief Support tab for more details)

  • Partnership with a Certified Private Crematory (Pet Meadow), which treats your pet with the same high standard of respect and dignity as Dr. Alexis - Dr. Alexis is also honored to offer home delivery of your pet's ashes for the most personalized care possible.

  • A donation in your pet's honor to the Colorado State University Pet Hospice Program


Comforted Companions Veterinary Care offers a number of appointment options that will allow you to make the right decision for you and your family all of which are outlined in the Our Services section.  Please note that due to Covid-19, Dr. Alexis is limited to only Home Euthanasia appointments at this time. 


Services Offered

Our prices vary for each appointment based on home location, day/time, and type of appointment,

as well as other variables.  (See details below) CLOSED THURSDAYS.

*On average, each appointment is ~3 hours of Dr. Alexis' time and certified expertise and care*

Please contact us to get an individualized quote based on your specific needs.


Dr. Alexis never charges for phone calls.

She believes that your comfort and confidence in her guidance is absolutely priceless.

*Due to the nature of her mobile practice, Dr. Alexis is unable to perform diagnostics and will always recommend that you continue working with your pet’s primary care veterinarian in the event that you are seeking further answers or more advanced diagnostic testing and treatment.

   *Please note that Dr. Alexis reserves the right to decline any pet euthanasia.*
While uncommon, Dr. Alexis wants to make sure that the right decision is being made for the entire family, including your pet. Discussing your pet’s health status and quality of life with Dr.  Alexis will help her to best guide your decision. Select cases may require contact with your regular veterinarian or a direct veterinarian referral.  

Dr. Alexis is a solo practitioner. She is unfortunately unable to assist with aggressive & feral cases.  These cases are best addressed under the supervision of a full veterinary team in a clinical setting. This is to ensure the proper level of safety & care for your pet and your family.

Quality of Life Assesment

* By Teleadvice only * 9AM - 4PM  -  $250


The most common question asked in regard to pet euthanasia is:

“How will I know when it's time?” 

The quality of life assessment is best for families who understand that their pet’s condition is declining and who would appreciate assistance deciding "when" the time to say goodbye is most appropriate. This supportive appointment is approximately one hour and conducted via telemedicine and includes supportive information as well as a list of symptoms to watch for that might suggest a decline in your pet's condition. This appointment will include a packet of helpful resources, which will be emailed to you for review with your entire family. 

Hospice & Palliative Care Evaluation

9AM-4PM (please book 24hrs in advance) - Starting at $500 (rechecks starting at $250)



A hospice evaluation includes a quality of life assessment as well as the development of a hospice care plan for your pet which will likely include pain management, symptomatic control through medications and fluids, environmental modifications, and diet changes as needed with the goal of making your pet’s remaining time as comfortable as possible.

While animal hospice and palliative care is fully supported, it must be recognized that not all animals are hospice candidates & you'll be receiving our professional opinion on what the best medical & ethical course of action is for your companion animal. The hospice evaluation appointment runs anywhere from an hour to two hours.

Compassionate In-home Euthanasia

9AM - 730PM - Starting at $375 (see below for cremation costs & any additional fees) 

Every in home pet euthanasia appointment starts with a discussion about your pet, their condition, and your wishes for their care to make sure everyone in your family is on the same page. The euthanasia process will be explained in full detail, this allows you to feel prepared & better able to focus on your pet. Questions or concerns are welcomed at any point throughout the appointment & families are given as much time as they need with their pet before, during, and after.

*Please note:  Euthanasia appointments are typically one hour.  This is to ensure that Dr. Alexis is able to help as many families as possible who require her services, especially in emergencies.  In the event a family is in need of extra time or requests a quality of life discussion prior to a euthanasia, the additional cost for veterinary consultation time will be billed hourly.  (See below)

Post-Passing Care Transport &    Respectful Cremation Options

Starting at $225 (see below for cremation costs & any additional fees)

In the event your pet passes away on their own, Comforted Companions Veterinary Care is available to come to your home to help make final arrangements and transport your pet to the crematory for body care.


Private Cremation: includes transportation, choice of urn (Standard Cherrywood chest urn included or Mahogany Photo urn for an additional $25) & engraved nameplate included.
Delivery options for ashes will be discussed during the appointment
Pickup at your regular veterinarian's office within 2 weeks is most common.
0-3lbs $325  -  4-49lbs $350  -  50-99lbs $375  -  100-149lbs $400  -  150+lbs $450

***We are very proud to offer ONLY PRIVATE cremation (vs. Individual or Separate).***

Dr. Alexis is happy to answer questions regarding the important details of cremation. 

A viewing is possible through our crematory, Pet Meadow for an additional fee.

(paid directly to the crematory)

Communal Cremation: includes transportation & cremation only
Ashes are scattered within a reserved area on the crematory property rather than returned, but owners are welcome to visit during normal crematory property hours.
0-3lbs $125  -  4-49lbs $150  -  50-99lbs $175  -  100-149lbs $200  -  150+lbs $250

Dr, Alexis will provide all pet aftercare options, memorial ideas - including a paw print options and fur clippings, and pet loss support information. Memorial paw print options are available for both private & communal options 
and range from $20 to $40.

(Dr. Alexis will have samples of urns and paw prints shown below on hand.)


Personal and caring ashes delivery to your home (by appointment):

Prices vary by location & range from $50 - $100.  

Dr. Alexis also has a close relationship with Bideawee Pet Memorial Parks for families interested in local, pet burial at a respected Pet Cemetery. 

Dr. Alexis has proudly been a speaker at their Pet Memorial Day

(2020 Virtual Version available on the Bideawee Website.)

For families with burial plots at Bideawee, Dr. Alexis will help make initial arrangements

and respectfully transport your pet to their facility

for a $50 fee for same day drop off or a $100 for next day drop off.

Scheduling & Additional Fees

We are honored to help you during your time of need.

We are the only service on Long Island offering Home Euthanasia

by a Certified End-of-Life Care Specialty Vet (DVM, CHPV), fully trained to work

with terminally ill patients during the most delicate moment of their journey.


Plus the possible additional fees listed below.

Please note that all appointments are scheduled on a first come first serve basis. Therefore it is recommended that you contact us prior to your desired appointment day and time to inquire about availability for the week. (Closed on Thursdays)  Dr. Alexis does her absolute best to accommodate as many families as possible.  We ask for your understanding as Covid Safety Protocols have significantly limited Dr. Alexis' schedule and availability.  Dr. Alexis' voicemail will typically state her next available appointment and any closure dates. 

** Dr. Alexis is a sole practitioner.  She strives to provide a personal, unique and caring experience to all families in need of her services.  Out of respect and fairness to all families within the community, Dr. Alexis is unable to temporarily hold appointments and/or book multiple appointment time slots for each individual family.  She understands that this is an incredibly difficult decision for you and your family to make.  If you are in need of additional guidance and assistance, Dr. Alexis recommends her Quality of Life Assessment Appointment or a more in depth initial consult to help comfort you and guide you. **  

Please note that appointments are weather permitting and while Dr. Alexis will do her best to keep every appointment, there are rare occasions when appointments may need to be rescheduled due to inclement weather.

In addition to the starting prices listed above,

the following additional fees will apply

based on day, time & location.

Weekend and Evening Fee: Saturdays, Sundays and weekday evenings from 5PM-730PM - $75  

PLEASE NOTE that Dr. Alexis is unavailable for after hours emergencies and unavailable by phone from 5PM - 9AM.  In the event of an emergency, she highly recommends the following clinics:

- VCA Westbury & Emergency Center of Westbury - 516-420-0000. 24/7 Care.

- Atlantic Coast Veterinary Specialists - Bohemia - 631-285-7780. 24/7 Care.

- VEG - Veterinary Emergency Group - Locations in Carle Place (516) 693-8859 and Commack (631) 462-6044

  Care is 24/7 on the weekends only and overnight hours only during the week.

- East End Veterinary Center - Riverhead - (631) 369-4513. 24/7 Care.

Distance Related Fees:

West of Meadowbrook Pkwy $25 - West of Nassau Blvd/Ocean Ave to Cross Island $75

Please note that as of 12/15/20, we are unfortunately no longer available to service Queens.

(Exceptions will be made for previous clients, previous client referrals, Bideawee Pet Memorial Park referrals and direct Veterinarian referrals only - Quote will be provided during call.)  

Beach Towns, off of Loop Parkway, Robert Moses, etc. - $25 

East of Rt-111 $25 - East of Rt-112 $75 - East of Wading River Rd./Wading River Manor Rd. Please call for quote

North of Northern Blvd/25A  $25

*Please note that Dr. Alexis is unable to service Fire Island. 

Larger Breeds: There will be an additional fee for dogs weighing 90lbs or more.
This will be discussed during your initial call with Dr. Alexis so that an accurate quote can be provided.

Additional Time:  Each appointment with Dr. Alexis is typically one hour.  In the event a family is in need of any additional doctor discussion/consultation time throughout the regularly scheduled appointment the additional time is billed at an hourly rate of $100/hour. 

IMPORTANT - Cancellation Policy: 

Dr. Alexis understands that booking this type of appointment can be extremely difficult and certainly hard to predict.  However, her time is extremely limited as a solo mobile Hospice Veterinarian.  She understands that your pet’s health may change prior to your scheduled appointment.  If you feel that you must cancel your appointment with Dr. Alexis, she asks that you please kindly give her 24 hours’ notice, especially for other families in need.

   24 hours Notice                           6 Hours or less notice                            2 Hours or less notice                          No fee                                             $150 fee                                      Full cost of the Vet Visit

                                                                                                             (No cremation costs to be charged)

Any cancellation shorter than a 24 hour period will severely limit Dr. Alexis’ ability to help another family that may have also needed help during your appointment time.  If the reason for your cancellation is surrounding an unexpected passing of your pet prior to Dr. Alexis’ arrival, please know that Dr. Alexis DOES offer respectful aftercare and can transport your pet for Private or Communal cremation at our partnering crematory, Pet Meadow (Please see services section for details).

Please note that any last-minute cancellation within 2 hours of the appointment arrival time will incur the full cost of the medical portion of the appointment (Dr. Alexis’ fees only, no cremation costs) as paperwork, medications and the vehicle have been properly prepared for the appointment by this time.  If Dr. Alexis has reserved a specific 3-5 hour window for your family, it means that she has fully prepared for your appointment (records, medications, vehicle, etc.) and rearranging such a delicate schedule can be extremely challenging.

Any cancellation within 6 hours of the appointment arrival time will incur a $150 cancel fee because late cancellations prevent us from providing care to another family in need.   Please understand as of April 2021 and after certain circumstances and the fact that Dr. Alexis does operate alone, it is clear that this cancellation policy is necessary for Dr. Alexis to be able to continue to provide compassionate and reliable care to all families in need.


Cancellations must be done via telephone call to Dr. Alexis at 516-402-4100.  Credit card information is required for booking, but your card will not be charged until Dr. Alexis’ arrival to your home.  In the event a cancellation falls under one of the policy guidelines listed above, the credit card will then be charged the full medical cost (appointments cancelled 2 hours or less) or the $150 fee for appointments cancelled in 6 hours or less.  Dr. Alexis and other Comforted Companions Clients appreciate your understanding, attention, and compliance with this cancellation policy.  


Payment is made at the start of the appointment following paperwork

and the family's decision for respectful aftercare.  It is best to do payment first

so the remainder of the appointment can focus and you and your beloved pet.

Cash or check are preferred (made out to Comforted Companions),

but we do accept all major credit cards.  

Holidays: Appointments on the following holidays (when available) incur an additional $200 fee: New Years Eve (after 3PM), New Year’s Day, Easter Sunday, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Christmas Eve (after 3PM) & Christmas Day. 

Please contact us for your individualized quote & Dr. Alexis can walk you through the appointment in full detail as well as answer any questions and address any of your concerns. CALL TODAY AND HEAR THE DIFFERENCE.