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Compassionate Choice Alliance

You don’t have to face the end of life alone.

At Compassionate Choice Alliance LLC, we provide calm, knowledgeable support for individuals and families considering Medical Aid in Dying (MAID) under Vermont’s Act 39.

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We’re here to help you and your loved ones navigate this time with clarity, care, and peace — offering guidance, advocacy, and companionship every step of the way.

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About Us

We are a team of three End of Life Doulas who work in partnership to serve clients throughout Vermont, offering a calm, steady presence to individuals and their loved ones. We help people navigate the logistical, emotional, and relational aspects of accessing Medical Aid in Dying in Vermont with clarity, compassion, and respect so that care aligns with each person’s wishes. Our goal is to make the journey less difficult by helping guide clients and their families through the logistical barriers as well as providing emotional support throughout the entire process.​​​

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Rachel Loreto, LMSW 

Rachel is a licensed social worker and practicing psychotherapist. She holds certifications as an End of Life Doula from UVM and Inelda. She brings extensive experience supporting vulnerable populations through a background in non-profit program management and child welfare. She currently serves on the board of the MAID educational and advocacy organization End of Life Options DC. Rachel also volunteers for hospice and answers inquiries about accessing MAID in Vermont on the Helpline at Patient Choices Vermont. Her personal experience accompanying her aunt through the MAID process in Vermont inspired her commitment to assisting others in creating a peaceful and empowered end of life journey for themselves. www.racheldoula.com

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Licia Berry-Berard, MSW, LICSW

Licia is a licensed social worker and psychotherapist with more than three decades of experience supporting individuals and families through medically and emotionally complex life stages. As a certified End-of-Life Doula, she brings a grounded, compassionate presence to those navigating the final chapter of life, helping clients and their loved ones feel informed, supported, and less alone. Licia’s professional background includes extensive work with vulnerable populations—older adults, individuals with chronic and terminal illnesses, and families facing significant loss or transition. She has guided countless patients and caregivers through medical systems, end-of-life decision-making, and anticipatory grief, always with an emphasis on dignity, clarity, and emotional safety.

 

Brigid Guttmacher, M.A., L.P.C. (Retired)

Brigid holds an End of Life doula certification from UVM and has 40 years of experience with hospices in Vermont and Washington, DC as both a clinician and a volunteer.  While working as Bereavement Care Coordinator and Community Outreach and Palliative Care Counselor for hospice, she provided support to family members and friends of hospice patients and members of the community before as well as after the death of a loved one.  Brigid had a private practice in DC specializing in helping individuals and families cope with illness, life transitions, and grief and loss issues.

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Together, we work to create a peaceful and personalized end-of-life experience. We help clients articulate their values and wishes, plan for care that aligns with those priorities, and build the support networks they need. Grounded, steady, and deeply experienced, we support individuals and families approaching death with guidance, honesty, and compassion.
 

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Services & Packages

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Our Services

We serve individuals who wish to access Medical Aid in Dying under Vermont’s Act 39.​​​ The process can be complex. We provide guidance and support with:

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  • Understanding the law and eligibility requirements

  • Finding Vermont-licensed physicians and caregivers

  • Organizing appointments and medical documentation

  • Coordinating hospice enrollment and transferring care (for out-of-state clients)

  • Planning for travel, lodging, and ingestion day

  • Working with pharmacists to obtain medication

  • Arranging after-death care

  • Providing emotional and practical support throughout the process

Where To Begin

Reaching out is the first step. When you contact us, we’ll schedule a time to connect and talk through your situation. We’ll listen to learn about you and your family, the diagnosis and your goals and needs. We’ll explain the Medical Aid in Dying (MAID) process in Vermont and answer all your questions.

After this initial call, we’ll share our service agreement. If we decide to move forward together, we collect partial payment and begin creating your personalized plan right away.

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Most clients complete the process — from planning to the day of death — within 4 to 6 weeks, though timing can vary depending on:

  • How quickly documentation is gathered

  • Coordination with hospice, funeral services, and pharmacy

  • Availability of physicians and other service providers

  • Your disease progression

Our role is to help keep things organized, reduce stress, and ensure each step is completed as smoothly as possible.

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Contact us: 

(802) 448-5046 

CCAdoulas@gmail.com

Guided Support Package

$6,000

Approximately 40 hours of support


Ideal for those who prefer a self-directed process with professional guidance.

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Includes:

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  • Guidance and planning through all MAID requirements

  • Coordination with Vermont-licensed medical providers

  • Scheduling and family education

  • Coordination with hospice, pharmacist, and day-of-death location

  • Full presence and support on the day of death

  • Availability: Monday–Friday, will respond within 24 hours

Concierge Support Package

$8,000

Approximately 60 hours of support


For individuals and families who want comprehensive, hands-on care with full logistical management and continuous presence.

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Includes everything in the Guided Support Package, plus:

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  • Attendance at medical appointments

  • Assistance with lodging and day-of-death arrangements

  • Medication pickup from the pharmacist

  • Full facilitation and on call for you 7 days a week, will respond within 2-3 hours, if not sooner 

If you’re unsure which option is right for you, we’re happy to talk through your situation and help determine the best fit.

Licia Berry-Berard, MSW, LICSW LLC

Social worker, Psychotherapist and End of Life Doula

​Licensed (VT and NH)

©2023 by Licia Berry-Berard, MSW, LICSW LLC. Proudly created with Wix.com

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