Director of Hospice and Palliative Care/ DVM, CVA, CHPV, CVPP, CTPEP, CVFT

Dr. Tyler Carmack is the Director of Hospice and Palliative Care for Caring Pathways.

She founded Hampton Roads Veterinary Hospice, an AAHA-accredited end-of-life practice, and has practiced exclusively hospice and palliative care since 2011. She has served on the Board of Directors of the International Association for Animal Hospice and

Palliative Care (IAAHPC) since 2016 in various roles, including President in 2020 and 2025. Dr. Tyler holds certifications in animal hospice and palliative care, veterinary pain management, peaceful euthanasia, veterinary acupuncture, TCVM food therapy, and TCVM End-of-Life care.