I can't say enough about Alexis who so gracefully single handedly runs comforted companions. I…read morefeel blessed to have had her by my side to help me make what felt like the most heart wrenching impossible decision. You will not find a more kind and compassionate person . Making the decison to say goodby to Origami was one of the most painful and confusing times in my life. Alexis gave me so much of her time and showed so much compassion and kindness at a time when breathing felt hard. If you are struggling to help your pet transition in a pain free way and would like to do it in your home with the most gentle and kind person, please choose Alexis. I will miss my sweet sweet Angel for the rest of my life but I feel grateful knowing she wasnt afraid and felt safe and loved in her last moments. Thank you Alexis

Dr. Alexis is not only a true professional but one of the most caring and compassionate doctors…read morethat I have ever met. This was an extremely difficult decision to make for our baby, Bosco, who was 13 when we had to say goodbye. We had been in communication more than once with Dr. Alexis before we had made the final decision. She was extremely patient and understanding with us as well as guided us through the process and explained everything thoroughly . It felt sad as anything to say goodbye but she made it a peaceful process while celebrating his life. Cannot thank Dr. Alexis enough and if anyone ever needs end of life care, I would highly recommend her.

Dr Leshanski had been taking care of my girl for the last five years. And I can't believe I never…read moreleft a review. I was recommended him my girl's old vet in Queens who didn't do visits in Manhattan and I cannot begin to say how lucky we are to have found him. I have been to so many vets over the years with my fur babies, some who look at you like a checkbook, to the point of telling me "maybe you should go elsewhere" when her nerves got the best of her (I'm looking at you Animal Medical Center) and others who put the needs of the animal above all else. He not only put my Leia's needs front and center but his care and compassion for the pet's companions, I can't say we're owners, was above and beyond. He gave my girl five more good years of life. Dealt with all my stupid questions and emails with patience and care. And he was here to gently ease her on her way. Anyone who needs a vet to take care of their furbaby. Please reach out to him. You can not find better.

Dr. Leshanski is amazing. An absolute wonder. Skilled and kind. Down to earth and so…read moreknowlegeable. My cat Cookie had upchucking episodes. Couldn't figure out what the trigger was. Dr. L. suggested antiacids (tiny dose) and it did the trick!! Of course, just to keep me on my toes, Cookie does still have the very rare upchuck. Dr. L and Henry come here and all is good. What a blessing - no terror stricken rides to the vet. I feel so grateful to him. Emily is the other secret weapon ... she is incredibly kind. I couldn't recommend him more.

Dr. Howard was wonderful. She handled the euthanasia in a humane and professional manner. She…read moreexplained every step and was considerate of how difficult it was for us. She did not rush through and was gentle with our cat and with us. Paws at Peace offers some extras (a paw print and a bit of fur in a little jar) in addition to cremation options. I initially thought these things were silly but I am glad we got them. It was easy to make the arrangements. We called at 8 AM and got a same day appointment. We got a text of the expected time and an update when there was a very slight delay. We got a follow up text the next day, with an offer for grief support. This is a well run organization. They know what they are doing. Best of all, they did not cause any additional grief to what was already a very sad day.

Making the decision to say goodbye to my best friend Applesauce after a nine-month battle with…read moreprostate cancer was one of the hardest decisions of my life. He was only five years old so even though our time together was short, he brought more love and joy into my life than I ever thought possible. I first contacted Paws at Peace a few months before I ultimately had to make the decision. Colleen was my first point of contact, and from the very beginning she was warm, patient, and understanding that I was still trying to figure out whether it was the right time. At that time March, Applesauce thankfully still had some good days ahead of him. But by May, he had slowed down significantly and was in a lot of pain so I knew it was time. Dr. Zhu came to our home and was so kind, compassionate, and gentle in a way that made an incredibly heavy moment feel just a little lighter. She never rushed anything and gave us extra time with him, which was something I had been so afraid wouldn't happen. She asked about his favorite toys, and in his final moments I found myself reminiscing about him with her as if she were a friend who had known us both for years, even though we had just met. After he passed, he was wrapped in a beautiful blanket and placed in a basket. I carried him down the stairs and brought him to the car for cremation. Saying goodbye to him was heartbreaking beyond words, but the way Dr. Zhu handled every step was so thoughtful and tender that I feel deeply grateful he was in such caring hands. I truly feel so thankful that my vet recommended Paws at Peace to me. They even followed up afterward with a beautiful card and continued support, which meant more than I could express. In such an unbearable moment, they made me feel held, supported, and cared for throughout. They helped make one of the hardest days of our lives a little more bearable and surrounded by so much love and compassion.

If I could give her 5,000,000 stars, I would. My pets are my children and they mean the absolute…read moreworld to me. She has helped two of them cross over the rainbow bridge, and knowing that their last moments were full of peace and calm in the comfort of their own home means so much and has really helped with my grieving.

Dr Dale Krier was extremely accommodating, compassionate and respectful during this stressful time…read more She gave my 15.5 year old best friend the dignity that she deserved on her final day. Her wisdom and forethought went above and beyond my expectations, and believe me, I had rehearsed this terrible day many times in my head. My call was promptly returned, a convenient time scheduled, and the process discussed. During this time of social distancing, some special accommodations needed to be made, but they in no way interfered with the love my dog received that day. Dr Dale played music made for dogs ears only and was extremely comforting to me as well. She made a clay print of my dogs paw, which I will cherish forever. The support Dr Dale gave that day extends far beyond as she checked in on me and provided access to support groups. When I picked up my dogs remains, they where surrounded by meditation gardens and considering the circumstances (pandemic restrictions) I couldn't have asked for anything more comforting and reassuring that my dog was truly loved and that I had made the right decision. Thank you from the bottom of my heart. Kathy Bremer at XTerra Dalmatians

Liz Stewart worked as a Vet Tech at Oradell Animal Hospital for many, many years. She's an at Home…read moreVeterinary Technician with a holistic approach as well as providing nursing services. I first met Liz last April (2016) when my Boxer became ill. She helped him and myself in many ways. Making his life comfortable in my home with her care. She was able to draw his blood here at home and then drop the vials off to my Veterinarian. This made a huge difference in me having to get my dog in/out of the car etc. Truly she reduced most of the stress. She worked with my Vet so that my boy could have the best of both worlds. She provides IV fluids and acupressure among many other services. Over time Liz has worked with all three of my dogs. Sally Rodriguez Hamm (FurMom)

I'd give 100 stars if I could. Rarely do you find someone as compassionate, caring and giving as…read moreowner Liz. My family is beyond blessed to have worked with her. I HIGHLY recommend her for pet care. Taking a holistic approach to pet health, Liz focuses on your pet and your family...and your individual preferences. She and I worked together on a health plan for my pup. When we first met, my sweet Oakley was given a 2-3 month prognosis. A year and a half later, he was still chasing chipmunks in the yard. I am certain this was very much in part due to Liz's connection with him and her careful and nurturing manner. She's the professional, the rock, the strength, the nurturing...the ONE you need for your pet. You will thank me, I promise.

Clean, caring veterinary service. They take thir time and do not rush you. Recommended by my long…read moretime, retired vet.

Can't talk enough about Dr Moore and Staff and river valley they truly love there patients i have…read morebeen going here for 5 yrs and so grateful for them our baby loves going there If your looking for a Amazing veterinary for your fur babies check them out the ABSOLUTE BEST!!!!!

Very peaceful. Very thankful. Very professional. Glad this service exists. It is as simple as that.read more

I was referred to Dr. Matthews when the veterinarian my local animal hospital recommended did not…read morehave availability over the weekend. She performed an at-home euthansia for my 18-year-old baby, Teddy. Although I felt nauseous leading up to the appointment, Dr. Matthews treated the procedure with gentleness, professionalism, and understanding. She did not rush me one bit as I said my slow goodbyes, and she made the situation as bearable as possible. I hope I never have to go through this again, but, if I do, I would call Dr. Matthews.

Dr Lisa was very kind and professional when she visited our home. She helped our pet feel…read morecomfortable and get the rest they ultimately needed. We are grateful to her and not having to stress our cat out in a vet's office at the end of their life. She even noted that for some pets, getting in the car to go to the vet can cause anxiety. She explained what to expect with euthanasia and we are immensely grateful. Highly recommend!

My 18 year old Natasha had reached the end of her journey. Even so, I didn't want to let her go…read moreand kept delaying the inevitable. I finally called Dr. Lisa when our vet made it clear there was nothing further we could do. I knew I had made the right decision when she came into our home. She was compassionate and the consummate professional. She gave us all the time we needed to say goodbye to Natasha before she administered the drugs. It was a peaceful end to a full life. Natasha had been my support animal after the death of my husband, and when I fainted after donating blood, licking my face to bring me to consciousness. She was an amazing cat and deserved a dignified end. Dr. Lisa delivered on all fronts.

When being a pet parent, there comes a time when you may need to make one of the hardest decisions…read more Last night was that day for us. I had read about Royal Farewell and had them saved because I knew someday, THIS day would come. We texted Dr Fasano 1st thing in this morning. He responded quickly via text, then a call a little while later. We explained that we came to the decision to put our almost 20 year old best Buddy to peace. We couldn't wait all day for the inevitable, it was tearing our hearts apart. He was able to rearrange a few things and got to us sooner than later. He was so professional and caring from the moment he walked in our door. We were able to hold our Buddy while Dr Fasano respectively did what needed to be done. He listened to our stories, as we cried through our last moments....and then that was it. Buddy got his wings. I cannot recommend Royal Farewell enough. We are so glad we didn't have to bring Buddy to a cold, scarey, sterile vet room. He got to cross the bridge, in my arms, in his house, with Dr Fasano caring and consoling us the entire time. Thank you so much, Dr Fasano. You made this heartbreaking time for us so much easier, and even less painful.

From the owner: "Dr. Fasano provides a service we hope you don’t need. But if you do, we’re here to make it the…read morepeaceful, comfortable experience possible.”

EXCELLENT CARE by Dr. Azagrar. He determined the issues (cause and effect) right away. Medicine…read morewas given to my dog and we will follow the instructions given. His Staff are helpful and delightful. Thank you!! J. F.

I brought my pug, George, to Pet ER today, and I felt compelled to share just how exceptional this…read moreexperience was. George's nails had grown so long they were beginning to cut into his pads--something no pet owner ever wants to see. To make matters more difficult, George is absolutely terrified of having his nails cut. It's always been a stressful experience for him. But when I brought him to Pet ER, they immediately put us at ease. They were more than happy to help, took him in right away without an appointment, and had everything done in less than two minutes. To my amazement, George didn't make a single peep--he stood calmly and allowed them to do exactly what they needed to. They even told me he was perfect! I was truly blown away. From the moment we walked in, the level of compassion, professionalism, and genuine care we received was beyond anything I've experienced in a long time. I've been part of the Setauket community for 58 years and have owned and cared for many animals over my lifetime--including horses, goats, donkeys, dogs, and cats. Having worked with countless veterinarians in this area and beyond, I can say with complete confidence that Dr. Azagrar and the entire team at Pet ER stand out in every way. They are not only highly knowledgeable and skilled, but truly compassionate. They take the time to care about you as a person and treat your pet like a valued member of your family--not just another appointment. George was treated like royalty. The staff is kind, attentive, and incredibly respectful. You can feel that they genuinely love what they do, and that makes all the difference. Pet ER has become such an important part of this community. It's exactly what Setauket needed--a place where our pets are treated with the dignity, care, and compassion they deserve. I am overwhelmingly grateful that they chose to establish themselves here and serve our community. If your pet ever needs care, this is the place to go. I cannot recommend them highly enough.