"If you realize that all things change, there is nothing you will try to hold on to. If you are not afraid of dying, there is nothing you cannot achieve." ~Lao Tzu
Author of Life...and Death
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Every human being is unique—the way we enter this world, how we live our lives, and how we eventually leave it. By realizing that we are the Authors of Our Lives, we also have the opportunity to become the Authors of Our Death, if we choose.
We invite you to explore our offerings to see how we may serve you. Please feel free to contact us with any questions or for more information.
As part of Tobias & Co.’s “Giving Back” Division, we are honored to offer sliding-scale pricing so that support is always within reach.

Patti DiMiceli
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End-of-Life Doula
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I am honored to serve...to stand at The Threshold with you and your loved ones.
End-of-Life Doulas provide emotional, spiritual, and physical support at one of life’s most profound passages. We are companions at an intensely personal and crucial time—helping individuals and families find meaning, create legacy projects, and plan for how the last days will unfold.
We also guide and support Loved Ones through the sacred final days of life and help ease the early suffering of grief.
(Definition adapted from the International End-of-Life Doula Association, INELDA.)

Legacy Projects
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A Legacy Project is created to honor your life and your story. It is your Why... the meaning in your life. It is a physical reminder of who you are and the life you've lived... a gift to your loved ones... a treasure to cherish. Some examples:
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Memory Book
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Letters
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Video
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Audio Recording
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Quilt
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Painting or Collage
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Song or Poem
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Crafted Object
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Collection of Recipes
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Park Bench
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Your Clothing Made Into Keepsakes
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Hands Casting Sculpture
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Standalone service includes up to 8 hours of in-person consultation and starts at $500

Packages
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These service packages are tailored to each client's needs, where they are in the process of dying, and how much support their caregivers need. All packages include a free 30 minute initial consultation.​
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Vigil Plan
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$500-$600 (6 visits approx. 1-2 hours each)
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Vigil Plan
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Ceremony Creation
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Emotional Support
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Vigil Plan + Legacy Work
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$800-$1000 (10 visits approximately 1-2 hours each)
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Vigil Plan
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Legacy Project
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Ceremony Creation
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Emotional Support
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Bedside Doula Support
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$500-$2500
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Daily visits during active stage of dying and through death
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Provide caregivers support
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Work with caregivers and support staff to implement Vigil Plan
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Meet with caregivers 3-6 weeks following the death

Vigil Planning
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How do you want to live the last days of your life? Who do you want at your side? Creating a Sacred Space as you cross The Threshold, brings your vision to life for you and your loved ones. Some ideas include
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Music
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Readings: Poetry, Psalms, or Legacy Book
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Massage or Light Touch
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Aromatherapy / Essential Oils
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Fresh Flowers
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Guided Imagery
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Your Beloved Pet to Hold
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Silk or a Soft Piece of Clothing to Touch
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A Symbol to Hold (Key to Heaven or Guardian Angel)
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Soft Lights or Candlelight
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Visiting a Favorite Place
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Listening to an Audiobook
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Creating a Special Ritual
Standalone service includes up to 8 hours of in-person consultation and starts at $500

Pet Doula Services
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Animals have the capacity to truly love us—every bit of us—deeply and dearly. We share a profound bond with our "fur babies" and their passing can impact us greatly.
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Creating a Circle of Life & Death with symbols and rituals can be most helpful and healing both during their transition and after. The options for End-of-Life Care & Services can be explored on our "Pets" page. In addition to these choices, we offer
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Legacy Projects
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Vigil Planning
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Ceremony Creation
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Emotional Support
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Photographs of You and Your Pet
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Companioning—To be with you and your pet through the active dying process
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This is a standalone service and not part of a package.
$60 an hour.
