Celebrating 15 Years of Caring for Hampton Roads Families

Since 2011, thank you for trusting us with your family.

Our story
AAHA-Accredited In-Home Hospice Care, Serving Hampton Roads Since 2011

Walking with families through their pet's final chapter.

Comfort Care, Quality-of-Life guidance, and peaceful in-home end-of-life care, delivered with compassion from beginning to end.

Available 7 days a week, 365 days a year

How We Can Help

Our Pathway of Care

Every family's journey looks a little different. Wherever you may be along the path, we're here to walk beside you.

Not sure where your pet is on this pathway?

You don't have to know what you need before asking for help. Our veterinarian-developed Pathway to Care Assessment can help you understand your pet's quality of life and what your next step might look like.

Take the Assessment

Hampton Roads Veterinary Hospice is proud to be part of the

Caring Pathways Family of Practices
Dr. Tyler Carmack, founder and lead veterinarian of Hampton Roads Veterinary Hospice
Led by Dr. Tyler Carmack, Founder

Care guided by a recognized leader in veterinary hospice

All patient care is overseen by our founder, a Virginia Beach native who has practiced exclusively in hospice and palliative care for over a decade.

  • Founded HRVH in 2011
  • Director of Hospice & Palliative Care, Caring Pathways
  • IAAHPC Board of Directors
  • Advanced certifications in hospice, acupuncture & pain management
Who You'll Meet

Meet Your Hampton Roads Care Team

The local team who shows up for Hampton Roads families, in person, at home.

  • Dr. Tyler Carmack

    Tyler Carmack

    Lead Veterinarian

  • Dr. Lauren Barrow

    Lauren Barrow

    Veterinarian

  • Dr. Megan Staab

    Megan Staab

    Veterinarian

  • Dr. Christin Dean

    Christin Dean

    Veterinarian

  • McKenzie LeSueur, LVT

    McKenzie LeSueur

    Hospice Technician

Our Standards

Why Families Trust Hampton Roads Veterinary Hospice

A few things worth knowing about the team and standards behind every visit.

AAHA Accredited

Accreditation is earned through regular, rigorous review of our medical standards, not simply awarded.

Why This Matters

Fear Free Certified Veterinarians

Every veterinarian is trained to ease fear and anxiety, which matters most for pets who find visits stressful.

Caring for Hampton Roads Since 2011

Fifteen years of hospice and palliative care, so you are guided by deep, hard-earned experience.

Available 7 Days a Week

Appointments every day of the year, 9am to 7pm. Our Client Care Team answers the phone from 8am to 10pm.

Integrative Medicine at Home

Acupuncture, food therapy, herbal medicine, and rehabilitation, brought to your living room.

Explore Integrative Care
In Their Words

What Families Are Saying

A few words from Hampton Roads families our team has been honored to walk alongside.

Testimonials, scrollable. Use the previous and next buttons, or swipe, to browse.

"Sam and I are so grateful for Dr. Carmack. She guided us through the sadness of Belle's last weeks. When the time came to put her down, Dr. Carmack was professional and extremely compassionate. She is remarkable. Thank you again, for your support and kindness."

Kandi on Dr. Tyler Carmack

"We received incredible support throughout the final mile of Archer's journey. Prior to her final hours, the staff was responsive, knowledgeable and sympathetic, and explained exactly what to expect. When Archer showed us it was her time to rest, Dr. Megan handled her visit perfectly. She moved slowly, explained everything very well, and helped us prepare for the final moments Archer deserved, peacefully at home, with her family knowing that they made the right decision with Megan's support and expert care. I highly recommend them to anyone, and can't thank them enough for their skill and care."

Chris on Dr. Megan Staab

"I cannot overstate how perfect Dr. Lauren's care for our cat, Oscar, was this morning. Though he had been unwell for some time, overnight it became apparent that our friend was uncomfortable and nearing the end. It was a Sunday. All emergency vets in the area were closed and, also, he was always a terrible cat at the vet so we weren't sure if an emergency vet experience would make his end worse, rather than better. I found this organization, sent a request for care about 6:00 a.m., received a call back a few minutes after 7:00 a.m., and by 9:00 a.m. Dr. Lauren was with us. Within minutes of coming into the house she was able to give him an anesthetic that took away all his pain, and he had a very peaceful end a few minutes later. I have had several pets euthanized at various vets over the years, with varying experiences, good and bad, but this was the best end you could imagine for your pet. Dr. Lauren had a perfect, kind manner. She understood cats. And people. And we are so grateful for her."

Amy on Dr. Lauren Barrow

"I cannot express enough gratitude for Dr. Tyler Carmack and her team for helping our sweet boy, Radar, pass. She was kind and accommodating, and explained everything to us with grace and patience. Our boy went to sleep peacefully, snoring deeply as we said our goodbyes. Dr. Carmack allowed our other dog, Maddie, to sniff and say her goodbyes as well. What a wonderful service Hampton Roads Veterinary Hospice offers. I only wish I had known about them years ago. Thank you for making this journey a bit easier for us."

Sharon on Dr. Tyler Carmack

"I cannot say enough to express how compassionate and caring Dr. Tyler was in helping our beloved Lucy cross the Rainbow Bridge. The group at Hampton Roads Veterinary Hospice was extremely kind and helpful. I would recommend this company without reservation."

Jack on Dr. Tyler Carmack

Local & Ready to Help

Serving Families Throughout Hampton Roads

From Virginia Beach and Norfolk to Chesapeake, Suffolk, Hampton, and Newport News, our team comes to you.

Cities We Serve

On the far edge of our service area, or not sure if we reach you? Give us a call at (757) 474-5968 and we will talk through our availability.

See the Full Service Area
Common Questions

Questions Families Often Ask

A few things families usually want to know before reaching out.

How do I know when it's time to say goodbye?

We understand this is a difficult question, and we are here to help. Our veterinarians created the Pathway to Care Assessment to help you understand which services we would recommend based on your pet's current condition.

Take the Assessment →
Will my pet feel any pain or anxiety?

Our veterinarian provides gentle yet profound sedation before the euthanasia injection. Your companion will be in a deep, peaceful, pain-free sleep first.

Learn More About the Process →
Should my children be there?

You know your child best, but we always recommend giving them the opportunity to say goodbye and to grieve. If a child does not want to be present, they should not be forced. Our veterinarian will explain things at an age-appropriate level and answer their questions.

See More in Our Full FAQ →
What about our other pets?

We recommend that housemate pets be present. The process is calm, quiet, and peaceful, and time to say goodbye helps them avoid searching for a lost companion. If a pet would be a distraction or is anxious around guests, they can still visit afterward.

See More in Our Full FAQ →
What happens to my pet afterward?

Once you have had time and privacy to say goodbye, we transport your pet to Agape Pet Services for cremation. An identification tag stays with your pet through the entire process, so your wishes are followed exactly. You may also make your own arrangements, such as burial.

See Aftercare Options →
What is integrative medicine for pets?

It combines traditional Western medications and diagnostics with Eastern techniques such as acupuncture, Traditional Chinese Veterinary Medicine, food therapy, and herbal medications, to help aging pets without the stress of a hospital visit.

Explore Integrative Care →

We're Here When You're Ready

There's no wrong time to reach out. Whether you're ready to schedule or just have questions, our team is here to walk through it with you.

Request an Appointment
Experiencing an Emergency? View Emergency Clinic Options

The below list may be useful in the unfortunate circumstance that your pet is experiencing a crisis and HRVH is not available to immediately assist you. This list is not inclusive of all 24-hour veterinary emergency options but can be a helpful resource during an emergency.

Virginia Beach

  • Bay Beach Emergency (757) 427-3214 2476 Nimmo Pkwy #101, Virginia Beach, VA 23456
  • VEST (Veterinary Emergency & Specialty of Tidewater) (757) 841-8378 6095 Indian River Rd, Suite 200, Virginia Beach, VA 23464
  • Ally Urgent Veterinary Care (757) 900-2559 521 Old Great Neck Rd, Virginia Beach, VA 23454
  • Blue Pearl Town Center Urgent Care (757) 499-5463 364 S Independence Blvd, Virginia Beach, VA 23452
  • Vets Now Urgent Care (757) 301-2915 3296 Dam Neck Rd, Virginia Beach, VA 23453
  • Furgent Care Urgent Care (757) 656-5650 5425 Virginia Beach Blvd, Suite A, Virginia Beach, VA 23462

Chesapeake

  • Hampton Roads Veterinary Urgent Care (757) 271-4669 676 Battlefield Blvd N, Suite B, Chesapeake, VA 23320

Suffolk

  • The COVE (Center of Veterinary Expertise) (757) 935-9111 6550 Hampton Roads Pkwy #113, Suffolk, VA 23435

Yorktown

  • PARC (Peninsula Animal Referral Center) (757) 874-8115 1120 George Washington Memorial Hwy, Yorktown, VA 23693

Williamsburg

  • Coastal Animal Referral Emergency (757) 703-0199 5295 John Tyler Hwy, Williamsburg, VA 23185

Richmond

  • Virginia Veterinary Centers (804) 353-9000 3312 W Cary St, Richmond, VA 23221

Please confirm hours and services directly with each clinic. See our full Emergency Clinics & Helpful Links page.

Poison concerns? The ASPCA Poison Control 24-hour hotline is (888) 426-4435. A fee applies to open a phone consult, so please have a credit card ready.

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