Medical Center
Horizons
Health-E-Quip
Foundation
Menu
Medical Center
Horizons
Health-E-Quip
Foundation
Contact
Careers
Volunteer
Donate
Menu
Contact
Careers
Volunteer
Donate
Search
Close
Search
+ More in Our Healthcare System
Medical Center
Horizons Mental Health Center
Health-E-Quip
Foundation
Services Overview
Hospice
Hospice House
HomeCare Services
Advance Care Planning
Bereavement Services
Private Duty Services
Medication Management
Voice Care
Events Overview
Kids Kamp
Tinsel and Tears
Remember Me Tree
Festival of Rememberance
Community Education
About Hospice & HomeCare
Director’s Message
Contact
Medical Staff
Hospice Advisory Board
Patient Forms & Assistance
Careers
Menu
Search
+ More in Our Healthcare System
Medical Center
Horizons Mental Health Center
Health-E-Quip
Foundation
Services Overview
Hospice
Hospice House
HomeCare Services
Advance Care Planning
Bereavement Services
Private Duty Services
Medication Management
Voice Care
Events Overview
Kids Kamp
Tinsel and Tears
Remember Me Tree
Festival of Rememberance
Community Education
About Hospice & HomeCare
Director’s Message
Contact
Medical Staff
Hospice Advisory Board
Patient Forms & Assistance
Careers
Services
Hospice
Hospice House
Hospice House Amenities
Hospice Qualifying Criteria
HomeCare Services
Advance Care Planning
Bereavement Services
Support Groups
Private Duty Services
Medication Management
Voice Care
Patient Forms & Assistance
Events
Kids Kamp
Tinsel and Tears
Remember Me Tree
Festival of Rememberance
Community Education
About
Director’s Message
Our Team
Hospice Advisory Board
Medical Staff
Contact
Volunteer
Menu
Services
Hospice
Hospice House
Hospice House Amenities
Hospice Qualifying Criteria
HomeCare Services
Advance Care Planning
Bereavement Services
Support Groups
Private Duty Services
Medication Management
Voice Care
Patient Forms & Assistance
Events
Kids Kamp
Tinsel and Tears
Remember Me Tree
Festival of Rememberance
Community Education
About
Director’s Message
Our Team
Hospice Advisory Board
Medical Staff
Contact
Volunteer
Patient Forms & Assistance
Patient Forms & Assistance
Hospice & HomeCare of Reno County
»
Patient Forms & Assistance
Patient Forms & Assistance
Hospice Application for Reduced Rates
Hospice Consent for Treatment
Hospice Election Statement
Agency Admission Book
Hospice Program Information
Hospice Election Statement
Hospice House Program Information
HomeCare Consent
HomeCare Program Information
Skip to content
Open toolbar
Accessibility Tools
Increase Text
Decrease Text
Grayscale
High Contrast
Negative Contrast
Light Background
Links Underline
Readable Font
Reset