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Enroll patients for palliative and hospice care with our free Hospice Forms. Whether you’re an individual or a healthcare provider, our secure online forms allow you to quickly gather important patient information such as contact details, e-signatures, file uploads, health data, and COVID-19 screening notices. All responses are stored in your Jform account and protected with a 256-bit SSL connection, PCI compliance, and optional HIPAA friendly features.

Make changes to any of our Hospice Forms with our intuitive form builder. No coding required — simply drag and drop to create additional forms and pages, install powerful widgets and integrations, upload your own branding, and more. You can even collect enrollment fees directly through your forms with our 30+ payment gateways — with no additional processing fees to Jotform. Share your forms with others by sending email invitations or by seamlessly embedding it in a website. Get the best care for your patient or loved one with these ready-made Hospice Forms that are compatible with any device.

이 템플릿들은 단지 제안된 양식들입니다. 이 양식이나 다른 양식을 계약서나 기타 법률 문서로 사용하기 전에 법적 요구 사항이나 귀하의 상황에 맞는지 확인하기 위해 변호사와 상담해 주십시오. Jform에 법적 요청을 보내기 위해 이 양식을 사용하지 마십시오.