Guidance with Enrollment

An admissions nurse can come out to have an initial conversation with you at your home, in the hospital or any other place you live or receive care. There is no cost for the visit.

During the conversation, the nurse will:

• Ask about your situation and needs
• Explain our programs
• Ask for permission to speak with your doctor about the care you require
• Ensure you understand the consent forms you will be asked to sign if you are admitted into care
• Describe who will be caring for you on your care team
• Provide contact information and a copy of our A Plan for Life: Personal Journal and Resource Guide

The initial conversation will be followed up with a visit from another member of your care team. Together, you will develop a plan of care that enables you to remain in control and live your life according to what is important to you.

After you have had a conversation with the admissions nurse, you will need to provide written consent to be admitted into care. Please download and read the following consent/election documents. Be sure the Patient Consent and Election of Hospice Benefit forms include your signature for the date of admission (this may be different than the current date). All forms should be faxed to our admissions department at (813) 651-7301.

• Empath Health Notice of Privacy Practices
• Statement of Advance Directives
• Patient Rights and Responsibilities
• Patient Consent Form
• Election of Hospice Benefit
• Florida Medicaid Election (AHCA)