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
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.