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The following forms require Adobe Acrobat Reader. You may download here for free. Please contact Life's Solutions Hospice Care staff to receive a user name and password to access these documents. Call 713-821-3000.
Informed Consent and Authorization Agreement for Hospice
Services and
Items Not Covered Under Routine Hospice Care
Patient
Privacy Authorization Form Notice of
Hospice Privacy Practices (HIPAA) Texas Medicaid Hospice Program Form 3071
Release of Medical Information
Medicare Benefit Election form
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