(516) 646-2172

Our Services

At-Home Euthanasia

What is at-home pet euthanasia?

At-home pet euthanasia is a veterinary service where a licensed veterinarian comes to your house to help your pet pass peacefully in familiar surroundings. Your pet is gently sedated first, then given a final injection while sleeping. The entire process is painless, and your family can be present throughout. Royal Farewells provides this service across Long Island, including Nassau County, Suffolk County, Queens, and Brooklyn.

Saying goodbye to a beloved pet is never easy, but at Royal Farewells, we believe that their final moments should be filled with peace, dignity, and love. Our at-home euthanasia services provide a gentle, compassionate option for families who want their pets to pass in the comfort of their familiar surroundings. By eliminating the stress of a veterinary clinic visit, we help ensure a calm, loving farewell where your pet feels safe and at ease.

The Process:

Our experienced veterinarians provide a compassionate, pain-free transition, guiding pet owners through every step of the process with care and understanding. We take the time to explain what to expect, answer any questions, and offer emotional support to families during this deeply personal moment. With a focus on comfort and serenity, we create an environment where pets can pass peacefully, surrounded by the people who love them most.

Pet At Clinic

Our Services

At-Home Euthanasia

Pet At Clinic

The Process:

Our experienced veterinarians provide a compassionate, pain-free transition, guiding pet owners through every step of the process with care and understanding. We take the time to explain what to expect, answer any questions, and offer emotional support to families during this deeply personal moment. With a focus on comfort and serenity, we create an environment where pets can pass peacefully, surrounded by the people who love them most.

What to Expect:

At Royal Farewells, we recognize that every pet is a cherished family member, and we are honored to assist in their final journey with respect and empathy. Aftercare options are available, including cremation and memorial services, to help families honor their pet’s memory in a meaningful way. Our goal is to provide not only a peaceful passing but also comfort and guidance for grieving families as they navigate this difficult time.

Logo for "Royal Farewells At Home Euthanasia" featuring a heart-shaped outline with a dog and a cat inside, accompanied by a small cross symbol above them. The text is in blue, with an elegant script for "At Home Euthanasia.
A man with short dark hair and a beard smiles while wearing a blue scrub top and a stethoscope around his neck. The name tag reads "Dr. Fasano" with a logo. The background is neutral-toned.

Dr. Fasano’s Promise:

Unhurried, dignified care
Clear communication throughout the process
Respect for your home and privacy
Professional aftercare coordination
Detailed explanation of each step
Time for final goodbyes
Memorial keepsakes available
Dr. Fasano handles all necessary arrangements afterward, allowing you to focus on remembering your cherished companion.
Book An Appointment
(516) 646-2172
Services
What We Do

Services We Offer

healthcare

Palliative Care Consultations

Palliative care provides compassionate support for pets with chronic or terminal illnesses, ensuring comfort and quality of life in their final days.

store

In-Home Euthanasia

In-home euthanasia offers a gentle, stress-free passing for pets in the comfort of their own surroundings, surrounded by the people who love them most.

healthcare

Aftercare

Aftercare services provide respectful and compassionate options, including cremation and memorial keepsakes, to help honor and preserve the memory of your beloved pet.

Reviews
Reviews

In Their Own Words

Gina Elenowitz profile picture
Gina Elenowitz
23:21 12 Mar 25
My husband and I had to make the most impossible decision this weekend and say goodbye to my heart dog and best friend. Having Dr Fasano come to our home was probably the easiest part of that decision. Dr Fasano is the most compassionate and caring doctor I have ever had the pleasure of working with and it was comforting knowing his gentle nature helped calm us through this difficult process.
It was the most private and raw experience and I definitely ugly cried but there is also something beautiful about being able to say goodbye in the comfort of our own home, where my Bailey was not stressed and she was able to be in her own bed surrounded by family and love.
Erick Weinstein profile picture
Erick Weinstein
17:27 09 Mar 25
We are so grateful for Dr. Fasano's compassion and professionalism when he came to my mother's to help with the euthanasia of her dog. He made an incredibly difficult and emotional situation as smooth and peaceful as possible. Dr. Fasano was caring, thoughtful, and truly understanding, offering comfort during such a challenging time. His kindness meant the world to our family.
Joyce Butera profile picture
Joyce Butera
18:19 07 Mar 25
I cannot thank Dr. Fasano enough for his calming, caring and professional manner during one of the hardest times of my life. My 16 1/2 year old yorkie, Chloe suddenly stopped eating and was Deteriorating quickly and as much as I dreaded the decision, I could not stand to see her suffering. I called Dr Fasano to see if he could accommodate a late appointment that day as to give my son time to get home and say goodbye. He told me, unfortunately, he had another appointment and could not let that family down, which I understood. She was suffering so much, I was going to take her to the 24 hour vet but then I got a call from Dr. Fasano saying that he couldn’t get me off his mind and that if I was willing, he would work late and come to me after. I will forever be grateful that my Chloe was able to go in my arms, in the comfort of her home, surrounded by everyone who loved her.
Carmela Kahraman-Fazio profile picture
Carmela Kahraman-Fazio
14:24 07 Mar 25
Dr. Fasano and his tech were so wonderful when we had to put our Roxy girl down. He was able to get here the next morning priority and explained how everything would work in a caring manner. When they arrived they were so gentle with her and made her and my kids all feel at ease. They were patient yet worked methodical and we never felt rushed to say goodbye. He handled setting everything up for her cremation and after she was gone still took the to talk to us and make sure everything was good before leaving. A few days later and we already got the text her ashes are ready for pick up. I couldn't recommend Dr. Fasano enough and I am so grateful he was able to make such a hard time a little easier. Putting Roxy down at home where she was happy and comfortable and surrounded by my children was the best decision I could have made rather than taking her to the vet's office.
Eileen Hohorst profile picture
Eileen Hohorst
13:43 07 Mar 25
I knew Dr. Fasano was the right choice for my family’s situation with our dog Cali. After many phone calls, he was the one Vet willing to accommodate our family that very same day. From our first telephone conversation to Dr. Fasano showing up at our home that evening with his Associate Mike, they both showed us so much kindness and compassion. Dr. Fasano explained the process and helped honor our wishes for our dog. If I were ever in this situation again, I would only call Dr. Fasano.
Urte Franitza profile picture
Urte Franitza
14:30 03 Mar 25
To say we are grateful to Dr. Fasano and his wonderful vet tech to help our CoCo peacefully over the Rainbow Bridge would be an understatement. The person who I thought would come to do this was not able to and the search was on to find someone with same day availability. Dr. Fasano clearly moved his day around to accommodate us and could not have been more compassionate, kind and professional. It is never easy to make these decisions but having him and his colleague there made all the difference in the world and provided a sense of peace. I have already recommended him and his service to two local veterinarians and would do so without reservation to anyone who asks.
William Bach profile picture
William Bach
00:35 24 Feb 25
This positive experience far exceeded any expectation.
The empathy, professionalism, and efficiency Dr Fasano & his assistant brought to this sad hour provided hard-to-describe relief.
His presence was calming.
Note: Doctor Fasano made himself available on one-hour notice when a well-known LI agency let us down.
Darlene Dimaria profile picture
Darlene Dimaria
19:02 17 Feb 25
Dr. Alex was great! He arrived within an hour of us contacting him, on a Sunday, and he and his assistant were kind, gentle and more than compassionate with such a difficult decision. We will be forever grateful to them for helping our boy crossover the Rainbow Bridge with the utmost dignity and respect that he deserved.
I would highly recommend him for such a sensitive time. 🌈
Jason M profile picture
Jason M
01:38 31 Dec 24
To say this was the right choice would be an under statement. My dog Madison was with us for 15.5 years and her biggest fear were car rides. The last thing I wanted to do was have her last memories on earth be a car ride followed by a cold vet floor and a steel table to end her life. Dr. Alex was outstanding. From initial phone calls and his schedule flexibility, it made setting everything up seamless. With similar family situations, I think our situation hit more home to him. His compassionate and caring nature and calming voice and approach really made this an absolutely perfect and peaceful time for Madi to head over the rainbow bridge. The ability for someone to be able to do this regularly but still show emotion demonstrates the compassion that Dr. Alex exhibits. Madison left us in my arms, on her comfy bed, with a full belly and surrounded by her entire family in the comfort of her own home, warm and without stress or fear. If there is any doubt or question about how to navigate a challenging time like this, do not hesitate. Reach out to Dr. Alex and have him come in house. It is the only decision and the appropriate one at that for your loved furry family members.
Contact

Still Have Questions?

Contact Royal Farewells

Give us a call. One of our care coordinators would love to help. We are available 7am – 10pm Eastern time, including weekends and holidays.

Phone:

(516) 646-2172

Email:

info@royalfarewells.com

img

Helpful Resources

How Do I Know When It’s Time? — A compassionate guide to help you through this decision.

Frequently Asked Questions — Everything you need to know about at-home pet euthanasia.

View Pricing | Schedule an Appointment

Frequently Asked Questions

What happens during at-home pet euthanasia?

Dr. Fasano arrives at your home and takes time to meet your pet in a comfortable setting. First, a gentle sedation is given so your pet drifts into a deep, painless sleep. Once fully sedated, the final injection is administered, stopping the heart peacefully within seconds. The entire process takes 15 to 30 minutes, and your family can be present throughout.

Does my pet feel any pain during euthanasia?

No. The sedation ensures your pet is in a deep sleep before the final injection is given. They do not feel any pain, anxiety, or awareness during the process. Most pets simply relax and close their eyes as the sedation takes effect.

Can my whole family be present, including children and other pets?

Yes. One of the greatest benefits of at-home euthanasia is that everyone who loves your pet can be there. Children, family members, friends, and even other household pets are welcome to be present and say goodbye.

How do I know when it is time to euthanize my pet?

Look for signs like chronic unmanaged pain, refusal to eat or drink, inability to stand or walk, loss of interest in surroundings, and more bad days than good. Our guide How Do I Know When It Is Time? can help you evaluate your pet’s quality of life.

What areas do you serve for at-home pet euthanasia?

Royal Farewells serves all of Long Island, including Nassau County, Suffolk County, and nearby areas in Queens and Brooklyn. Dr. Fasano is available seven days a week, including evenings.

Serving All of Long Island and Nearby Areas

Royal Farewells provides compassionate at-home pet euthanasia throughout Long Island, New York, including:

Nassau County: Hempstead, Garden City, Mineola, Freeport, Long Beach, Valley Stream, Franklin Square, Massapequa, Hicksville, Levittown, Plainview, Jericho, Syosset, Oyster Bay, Glen Cove, Manhasset, Great Neck, Roslyn, Westbury, Rockville Centre, Merrick, Bellmore, Wantagh, Seaford, Bethpage, Farmingdale, Old Bethpage, Floral Park, New Hyde Park, Elmont

Suffolk County: Babylon, Huntington, Islip, Smithtown, Brookhaven, Riverhead, Brentwood, Bay Shore, Lindenhurst, West Islip, Commack, Dix Hills, Deer Park, Hauppauge, Centereach, Selden, Patchogue, Medford, Coram, Lake Ronkonkoma, Stony Brook, Port Jefferson, Northport, Cold Spring Harbor, Melville, East Northport

Also serving: Queens, Brooklyn, and surrounding areas. Dr. Fasano is available seven days a week, including evenings. Contact us to schedule a home visit in your area.