Sunset Hospice, Inc.
1420 Rudel Dr.
Tomball, TX 77375
Office : (281) 290-7600
Fax: (281) 290-7603
SunsetHospice@yahoo.com
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HOSPICE DOCUMENTS

The following forms require a .pdf reader, such as Foxit Reader. You may download it here for free. Please contact Sunset Hospice staff to receive a user name and password to access these documents. Call (281) 290-7600.

 

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  

Financial Authorization 

Medicare Benefit Election form

Guidebook for Our Patients and Their Caregivers


 

 

OUR GOALS

To be the advocate, hope-bearer, comforter,
and faithful companion
on the journey;

To provide individualized, pro-active, holistic
and ethical care
to all patients
who choose hospice

To assist the patient with closure of multiple social relationships allowing expression of regret, forgiveness, gratitude
and appreciation;

To allow our patients
to experience love of self
and love of others;

To allow fearless total surrender to the transcendent
and the unknown.


©2009 Sunset Hospice, Inc.
1420 Rudel Dr. | Tomball, TX 77375 | (281) 290-7600 office
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