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ACCORD Hospice CONFIDENTIAL APPLICATION FORM APF 02 Position Applied For: Please type or write in CAPITAL LETTERS and black text or ink 1. PERSONAL SURNAME FIRST NAME’S) TITLE (Dr×Mr/Ms etc) PERMANENT
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How to fill out APF 02 Accord Hospice:

01
Begin by reviewing the instructions provided in the APF 02 Accord Hospice form. These instructions will guide you through the entire process and ensure that you provide all the necessary information accurately.
02
Start by filling in the basic information section, including your name, contact details, and any other required personal information.
03
Proceed to fill in the patient's information section, providing details such as their name, date of birth, and medical history. Make sure to include any relevant medical conditions, medications, and recent hospitalizations.
04
Next, complete the hospice information section, which may require you to provide details about the hospice organization or facility you are associated with.
05
Move on to the agreement section, where you will need to read and understand the terms and conditions outlined. If you agree to these terms, sign and date the agreement appropriately.
06
Finally, review the completed APF 02 Accord Hospice form to ensure that all information is accurate and complete. If any corrections are needed, make them before submitting the form.

Who needs APF 02 Accord Hospice?

01
Patients who are considering or have already chosen hospice care as a part of their end-of-life care plan.
02
Family members or legal representatives who are involved in the decision-making process regarding the patient's hospice care.
03
Healthcare professionals working in hospice organizations or facilities responsible for documenting and maintaining patient information.
Remember, it is essential to consult with a healthcare professional or hospice staff for personalized guidance and assistance when filling out the APF 02 Accord Hospice form.
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