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Butter wick Hospice Surviving the Sahara 13th 18th October 2016 Please return this completed form, along with your check (if applicable) and passport copy to: Butter wick Hospice, Fundraising Office,

How to fill out butterwick hospice surviving form

How to fill out the Butterwick Hospice surviving form:

1. Start by carefully reading the instructions provided on the form. Make sure you understand all the requirements and sections that need to be completed.
2. Gather all the necessary information and documents before starting to fill out the form. This may include personal identification details, contact information, medical history, and any relevant supporting documentation.
3. Begin by providing your personal information in the designated sections. This typically includes your full name, address, phone number, date of birth, and emergency contact details.
4. Move on to the section that requires you to provide details about the deceased individual. This may include their full name, date of birth, date of passing, and any other relevant information.
5. Ensure that you accurately complete the sections related to the deceased individual's medical history and any treatments they received at Butterwick Hospice.
6. Next, you may be required to provide information about the surviving family members or next of kin. Include their names, relationships, and contact details.
7. Proceed to complete any additional sections or questions on the form as required. This may include providing consent for the use of information, acknowledging any financial responsibilities, or specifying any special requests or preferences.
8. Double-check all the information you have entered to ensure accuracy and completeness.
9. Once you are satisfied with the form, sign and date it in the designated areas. If required, have any witnesses also sign the form.
10. Keep a copy of the completed form for your personal records, and submit the original form to Butterwick Hospice as instructed.

Who needs the Butterwick Hospice surviving form?

1. The Butterwick Hospice surviving form is generally required by individuals who have lost a loved one who was under the care of Butterwick Hospice.
2. It is typically needed by family members or next of kin of the deceased individual in order to provide necessary information for record-keeping, legal purposes, and to fulfill any obligations or requests related to the deceased individual's medical care and services received at Butterwick Hospice.
3. The form helps Butterwick Hospice to properly document the passing of a patient and to establish communication and support with the surviving family members during the bereavement period.

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