Patient Consent for Care and Service Agreement - Hospice
UPDATED 2024
Used to obtain patient and/or legal guardian consent for hospice care and to provide supportive evidence that contains required admission elements were reviewed prior to admission to hospice. And to demonstrate receipt of HIPAA notice of privacy practices.
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Size: 8.5 X 11
Paper: 2-part - white and canary
Print: Black Ink
Punching: 5-holes top and side
Packaging: 100 per pack