Hospice Partners of America

Is It Time To Consider Hospice?

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You do not have to make the decision to enter hospice alone. Our hospice staff has a lot of experience helping patients and families evaluate their options and make care decisions.

Complete the questions listed below to help you determine if it is time to consider receiving hospice services. If you are filling this out for a loved one, please substitute the words “your loved one” for “you” in the items below.

  1. In the past few months, you have started needing assistance:
    Select all that apply:






  2. How much weight have you lost in the past month without trying?




  3. Is it becoming more difficult for the person who is the "caregiver" to take care of you?

  4. Have you been hospitalized or seen in the emergency room in the past three months?

  5. Do you experience shortness of breath while sitting or resting?

  6. Have you started taking medications for pain or had to increase the amount of medicine you take for pain?

  7. Have you fallen more than two times in the past six months?

  8. Have you been told by your physician that your life expectancy is limited?

About Hospice Partners

At Hospice Partners, we take our commitment to providing care at the end of your life or your loved one's life as seriously as if you were our own family member. We believe your journey should be focused on living each of your days fully, however you define that. Our promise: No one dies alone, afraid or in pain.

Explore this site to see the impact our care has had on others at the end of their life. Discover our exceptional care to Veterans, check out who will care for you, including our complimentary alternative therapies, or give us a call for further information. We look forward to being of service to you on this most sacred of journeys.

Get Help Now Your Hospice Survey

Contact Us

Hospice Partners of America,
Corporate Office
3021 Lorna Road. Suite 200
Birmingham, AL 35216
Phone: (205) 533-7216
Fax: (205) 533-7219

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