New York City  ·  End-of-Life Coordination

Louise & Alfred

End‑of‑Life Coordination  ·  Advocacy  ·  New York

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When a loved one is dying, you should not have to
navigate a system.
You should be able to be present.

Louise & Alfred coordinates everything — the healthcare system, the vendors, the paperwork, the logistics — so that families can focus entirely on what matters.

The Work

01
Death Doula Support
From $5,000
Emotional, practical, and spiritual accompaniment through the dying process. Presence at bedside, guidance for family members, legacy work, vigil planning, ritual support. We are with you.
02
Patient Advocacy
From $6,500
Navigating the healthcare system on your behalf — communicating with providers, coordinating care transitions, attending appointments, decoding complexity. You should never have to figure this out alone.
03
End-of-Life Planning
From $3,500
Capturing what they want and bringing in the people who will carry it out — funeral planning, how they'll be cared for, legal referrals for will and directive preparation, and putting in order everything they're leaving behind. We hold this so you don't have to.
04
Logistics & Estate Clearing
From $3,500
Full coordination of estate clearance — vendor sourcing, scheduling, donation facilitation, item disposition, home clean-out management. Client pays vendors directly. We manage everything else.
05
Add-On Modules
Quoted per scope
Post-death administrative support, estate sale management, ongoing family check-ins. Available as standalone services or as supplements to any engagement.
Legacy Preservation Grief Navigation Out-of-Town Family
Full-Service Engagement
Base  ·  Extended  ·  Complex
All four pillars, from diagnosis through post-death. One relationship, one dedicated account, everything handled. The base engagement covers a defined standard scope. Extended and complex engagements — prolonged timelines, multiple properties, complicated estates — are scoped accordingly. All vendor fees are paid directly by the family from a dedicated account we manage on your behalf.
Base
$12,000 – $15,000
Extended & Complex
$18,000 – $25,000+

How It Works

01
The First Conversation
A private, unhurried call — no forms, no intake sheets. We listen to where things stand, what you need, and whether we're the right fit. There is no obligation.
02
Coming Into Care
We scope the engagement together and fund a dedicated account. Your Meridian space is opened. From this point, you stop having to figure things out.
03
We Handle It
Vendors are coordinated, providers are communicated with, logistics are managed. You receive updates through Meridian. We are reachable when you need us.
04
Closing the Account
When the engagement is complete, we provide a full accounting, reconcile the dedicated account, and remain available. Meridian stays open. What remains, remains.

Meridian

Your private space for everything.

Meridian is the secure portal that every Louise & Alfred family receives. It holds the timeline, the documents, the financial account, and the things your loved one wanted to leave behind — in one calm, considered place.

Where things stand A living timeline — not a task list. Open it at any hour and understand exactly what is in motion, what is done, and what is coming.
Held here Every document in one place. Medical directives, vendor contracts, certificates. Permissions-based, so the right people see the right things.
The dedicated account Full transparency on every disbursement made on your behalf. Funded by you, managed by us, visible to you at all times.
What they left A private space for the person who is dying to leave something. A letter, a recording, their wishes in their own words. This does not close when the engagement does.
Meridian
Provider communication Done
Hospice transition coordination Done
Funeral director liaison Done
Estate vendor sourcing In motion
Attorney referral — estate In motion
What they left — 3 items Held here
Dedicated account — what remains
$8,400

Founder portrait

Founder, Louise & Alfred

About

Built from
experience,
not observation.

Louise & Alfred is named after my grandparents. The company is built from what I know — and what I know is this: when a loved one is dying, the people closest to them should not have to choose between being present and managing everything else.

I am an INELDA-certified death doula and end-of-life coordinator with a background in complex project management. I understand the process of dying — what it requires emotionally, medically, and logistically.

This work is also personal to me. Most families, including my own, have navigated this alone — across fragmented providers, with no one holding it together.

Louise & Alfred is the company I wish my family had access to.

Certification INELDA Death Doula
Credential BCPA — Patient Advocacy
Based in New York City
"

She handled everything we didn't know we needed to handle — and somehow made us feel like we weren't alone in any of it.

Family, Upper West Side — 2026

First Conversation

You don't have to figure this out alone.

The first conversation is private, unhurried, and without obligation. We'll listen to where things stand and whether we're the right fit for your family.

hello@louise-alfred.com
New York City
Strictly confidential
Engagements by referral and direct inquiry