Forms

Please use the links below to access our online forms.

GENERAL INTAKE FORMS

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Volunteer Form

Become a Nelson and District Hospice Society volunteer.

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Client Referral Form

Please use this form to refer a client to Nelson Hospice.

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Grief Referral Form

Please use this form to refer a grief support client to Nelson Hospice.

WORKATHON FORMS

Client Registration Form

Do you need help around your garden or backyard? Become a Work-a-thon client! If you are a senior, are disabled or you represent a community organization, you can register here and indicate what services outside services you need help with. 

Volunteer Registration Form

Become a Work-a-thon volunteer! If you would like to volunteer to provide service to seniors, those in need and community organizations on our work-a-thon day, please fill out this form. Thanks for helping to support Nelson & District Hospice Society!

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Connect With Us

Nelson

250-352-2337

nelsonhospice@gmail.com

East Shore

250-227-9006

eastshorehospice@gmail.com

About Us

Nelson & District Hospice Society works closely with healthcare providers, counsellors, therapists, clergy, and pharmacists to provide compassionate care and support for the dying and the bereaved in our communities.

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