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QUALITY CARE SURVEY ADMISSION


To help us maintain the highest quality of care, we would appreciate your response to the following questions:

We are very happy to have All Lives Matter Hospice service our family with no charges and think they are very knowledgeable.

I consent to the collection, use, storage, and processing of my personal and, where applicable, health-related information, including any data I submit on behalf of others, for the purpose of evaluating or fulfilling my request made through this form. I understand this will be handled in accordance with the Privacy Notice.

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