OTHER IMPORTANT INFORMATION
Supplies / Equipment
n What special supplies or equipment might I need?_________________________________________________
n Do I have what I will need?______________________________________________________________________
n How do I get more supplies if I need them?________________________________________________________
n What is the number?____________________________________________________________________________
Home Health / Hospice
n If I will be using home health or hospice, what agency will I be using?_________________________________
n How do I contact the agency?___________________________________________________________________
n When will they be coming to see me?_____________________________________________________________
n What will they help me with?_____________________________________________________________________
NOTES
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