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(602) 283-3663

Hospice Eligibility

Home
About
Hospice Care
FAQ
Resources

(602) 283-3663

Hospice Eligibility

Hospice Eligibility

Hospice Eligibility

Hospice Eligibility

Is the patient currently residing in the Phoenix, AZ area or surrounding regions?

Yes

No

Has the patient been diagnosed with a life-limiting illness?

Yes

No

Has a physician certified a life expectancy of six months or less, if the illness runs its usual course?

Yes

No

Not Sure

Has the patient, or their authorized representative, decided to shift focus from curative treatments to comfort care?

Yes

No

Not Sure

Is the patient experiencing uncontrolled or worsening symptoms, such as pain, shortness of breath, or rapid weight loss?

Yes

No

Has the patient required frequent hospitalizations or emergency room visits in the last six months?

Yes

No

Does the patient require assistance with activities of daily living such as bathing, eating, or moving around?

Yes

No

Is the patient, or their family, in need of emotional or spiritual support related to the terminal illness?

Yes

No

Does the patient have health insurance coverage?

Yes

No

Not Sure

Does the patient meet the requirements to qualify for Medicare benefits?

Yes

No

Not Sure

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Patient name

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Phone/Mobile

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best hospice in phoenix

We are lavender blossoms in a desert oasis providing enhanced quality of life with wellbeing and dignity during the greatest time of need for our patients and their families.

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Lavender Hospice

Office Location
20815 North 25th Pl # A106, Phoenix, AZ 85050
Call us
(602) 283-3663

Office Hours

Monday 8 am - 5 pm

Tuesday 8 am - 5 pm

Wednesday 8 am - 5 pm

Thursday 8 am - 5 pm

Friday 8 am - 5 pm

Saturday Closed

Sunday Closed

© Lavender Hospice – In Home Hospice Care in Phoenix, AZ

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