Children: Often children over the age of 5 or 6 are able to let you know what their personal preference is.  Some kids know that they want to be present, and others know they do not want to be at the house.  Some children and adults are not 100% sure.  If that is the case, we recommend they come out for the part of the process where Dr. Atkins explains what will happen.  Then, they can be where they want to be, on their own terms.  When children are involved, Dr. Atkins will make it clear that they have permission to be wherever it is they need/want to be.  Children under the age of 4 generally do best with pre-arranged childcare.  If you are unable to pre-arrange childcare, then one adult is usually “assigned” child duty.  That adult would need to be prepared to go inside with their child if needed. Please let us know if you have young children.  Dr. Atkins usually has a used copy of the books, “Dog Heaven” and “Cat Heaven” that she can leave with your family. There are also Sesame Street episodes on pet loss that can be helpful.