Hoffmann Hospice

Volunteer Activity Report

Volunteer Activity
Reports

Thank you for your dedication and service! Please submit your volunteer activity reports to help us track your invaluable contributions and continue providing exceptional care.

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If you have any questions regarding this form or your responsibilities to a patient please call 410-1010.
***For direct patient contacts reports must be received within two (2) days from date of activity.
If you have an immediate patient concern, please call Hoffmann Hospice at 661-410-1010 and ask to speak with the triage nurse. Please notify the Volunteer Coordinator after notifying triage.

Volunteer Name
Please specify AM or PM and enter in 15 minute increments. Examples: If you get there at 2:25pm, please use 2:30pm. If you get there at 2:08pm, please us 2:15pm.
Please specify AM or PM
Are You Claiming Mileage?
Round Trip, in minutes
Volunteer Type
Please describe what you did during your visit.
Bereavement

Your Comfort is Our Priority

Our team is available 24/7 to answer your questions, and ensure all your hospice care need are met with empathy and expertise.

Dignity Health Mercy & Memorial Hospitals
CHAPCA - California Hospice and Palliative Care Association
Department of Health & Human Services - Medicare Certified
National Hospice and Palliative Care Organization
CHAP - Community Health Accreditation Program
The American Academy of Bereavement
Seal of Transparency Platinum GuidStar