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MARYLAND HOSPICE SURVEY Page 1 of 11Maryland Health Care CommissionHOSPICE SURVEY PART 1 2018 (Print version)SECTION A IDENTIFICATION AND CONTACT INFORMATIONAgency Name: Street: City: County: Zip:Select
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To fill out hospice survey part 1, follow these steps:
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Start by reading the instructions provided with the survey.
03
Make sure you have all the required information and documents ready before you begin.
04
Begin by providing your personal details such as name, address, and contact information.
05
Follow the prompts to answer the questions about your medical condition, current medications, and any previous healthcare services received.
06
Be truthful and accurate in your responses, as this information will help healthcare professionals assess your needs.
07
If you need assistance or have any questions while filling out the survey, don't hesitate to seek help from a healthcare provider or hospice organization.
08
Once you have completed all the sections of the survey, review your responses to ensure they are correct and complete.
09
Submit the survey as per the provided instructions.
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Keep a copy of the completed survey for your records.

Who needs hospice survey part 1?

01
Anyone who is considering or in need of hospice care may need to fill out hospice survey part 1.
02
This includes individuals with terminal illnesses, chronic conditions, or those who require specialized palliative care.
03
The survey helps healthcare providers and hospice organizations understand the patient's medical history, current health status, and the level of support needed.
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Hospice survey part 1 is a form used to collect data and information about the operations and services provided by hospice facilities.
All hospice facilities are required to file hospice survey part 1.
Hospice survey part 1 can be filled out online or through a paper form provided by the regulatory body.
The purpose of hospice survey part 1 is to gather data on hospice facilities to ensure quality care and compliance with regulations.
Information such as patient demographics, services provided, staffing levels, and quality measures must be reported on hospice survey part 1.
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