Hospice Eligibility Hospice EligibilityIs the patient currently residing in the Phoenix, AZ area or surrounding regions? Yes NoHas the patient been diagnosed with a life-limiting illness? Yes NoHas a physician certified a life expectancy of six months or less, if the illness runs its usual course? Yes No Not SureHas the patient, or their authorized representative, decided to shift focus from curative treatments to comfort care? Yes No Not SureIs the patient experiencing uncontrolled or worsening symptoms, such as pain, shortness of breath, or rapid weight loss? Yes NoHas the patient required frequent hospitalizations or emergency room visits in the last six months? Yes NoDoes the patient require assistance with activities of daily living such as bathing, eating, or moving around? Yes NoIs the patient, or their family, in need of emotional or spiritual support related to the terminal illness? Yes NoDoes the patient have health insurance coverage? Yes No Not SureDoes the patient meet the requirements to qualify for Medicare benefits? Yes No Not SureYour namePatient nameYour EmailPhone/MobileAdd a custom messageCheck Eligibility