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If you or a loved one is experiencing significant health challenges, you may be wondering if hospice care is the right choice. This form is designed to help you determine eligibility for our hospice services.

Eligibility Requirements: Life-limiting illness | Patient has a declining functional status

End Stage Diagnosis
Hospice is often associated with cancer, but any patient with any advanced illness is eligible for hospice. These may include, but are not limited to:

Metastatic Malignancies | Heart Disease | Kidney Disease | Liver Disease | Lung Disease | Stroke and/or Coma | AIDS | Neurological Diseases (Alzheimer's, Parkinson's, Dementia, etc.) | Lou Gehrig's (ALS) Disease

In addition, those experiencing serious multi-symptom deterioration, frequent emergency room visits and/or hospitalizations, or discontinuing aggressive treatment may also be eligible for hospice care.

Generally it is time for hospice when doctors are offering a prognosis of 6 months or less. It is better to begin hospice care early rather than late. Many people are referred too late to fully benefit from all the services offered through hospice. It is not necessary to be home bound to receive hospice care.

Please take a moment to complete the questions below. By checking the statements that apply, you can gain a better understanding of whether hospice care may be appropriate for your situation. Once you’ve filled out the form, a member of our team will reach out to discuss your needs and how we can support you.

Thank you for considering a donation to Fremont Regional Hospice. Your generosity directly impacts the lives of patients and their families during some of life’s most challenging moments. As the only independent, non-profit hospice serving Fremont, Custer, Park, Teller, and Western Pueblo counties, we rely on the kindness of donors like you to help provide compassionate, high-quality care to those in need.

By making a contribution today, you help us continue our mission of offering comfort, dignity, and support to our community’s most vulnerable individuals. Whether it’s providing essential medical supplies, offering grief counseling to families, or supporting our dedicated care team, every dollar you give makes a meaningful difference.

Your donation helps care for those patients that are uninsured or underinsured. It also helps us supply items that aren't covered under insurance.

Thank you for your interest in volunteering with Fremont Regional Hospice. Our volunteers play a crucial role in providing compassionate care and support to patients and their families during life’s most challenging moments. Whether offering companionship, assisting with daily activities, or providing a listening ear, our volunteers help bring comfort and dignity to those in need.

By joining our team, you have the opportunity to make a meaningful difference in your community while gaining valuable experience and personal fulfillment. We are looking for dedicated, compassionate individuals who share our commitment to providing high-quality hospice care.

This exciting casino-themed event not only promises a night of fun and games but also supports our mission to deliver compassionate, high-quality care to those facing life-limiting illnesses in our community. Your participation will directly contribute to sustaining and expanding our vital services, ensuring that we can continue to be there for families when they need us most.

We are always seeking talented, passionate, hardworking individuals to become an integral part of our growing success. If you’re interested in making a positive impact on our customers and our company, then we’d love to hear from you!