Hospice Care Discovery Form

Provide Compassionate End-of-Life Care with a Complete Hospice Discovery Form

When a family reaches out for hospice care, they're navigating one of life's most difficult transitions. Your initial assessment needs to be thorough, compassionate, and efficient—gathering critical medical information while respecting the emotional weight of the moment.

This Hospice Care Discovery Form template gives hospice providers, palliative care teams, and senior care organizations a dignified, organized way to collect everything needed for care planning: diagnosis and prognosis details, current symptom management needs, spiritual and cultural preferences, family support requirements, and advance directive documentation.

Streamline intake while maintaining compassion

Instead of lengthy phone calls, scattered paperwork, or overwhelming PDF packets, this form walks families through a clear, step-by-step assessment that can be completed at their own pace. Conditional logic reveals only relevant questions, and the warm, professional design reflects the sensitivity of the situation.

Use it to:

• Assess medical status including diagnosis, prognosis, current medications, and pain levels
• Understand symptom management needs across physical, emotional, and cognitive domains
• Honor spiritual and cultural preferences for faith-based support, chaplain visits, and end-of-life rituals
• Identify family caregiver support requirements, respite care needs, and grief counseling
• Document advance directives including DNR orders, healthcare proxies, and living wills

Connect to your care coordination tools

With Paperform's integrations and Stepper (stepper.io) workflows, you can automatically route completed discovery forms to your care coordination platform, create patient records in your EMR system, assign care team members based on location and needs, and trigger follow-up communications to families—all without manual data entry.

Whether you're a hospice agency, hospital-based palliative care program, or faith-based end-of-life care provider, this template helps you gather sensitive information with grace, structure your care planning process, and ensure every patient receives the dignified, personalized support they deserve during life's final chapter.