VISION:
To offer free spiritual support to anyone of any faith or culture in Auckland facing the end of life.

MISSION:
Our specially trained visiting Companions are dedicated to fostering spiritual friendship with the aim of supporting each person’s own inner resources and encouraging personal spiritual strength, empowering the dying to pass peacefully

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Related Links
How to Talk About Death
Signs of Dying
Psych & Spiritual Support
After Death Care
Self Care
Grief & Bereavement
Reading List
Sender's Name Date:
Phone & ext:
Email address
 
Patient's name Patient's ph:
Patient's address
Date of birth:    
Primary Language Speaks English?
M/F Lives with: (alone, daughter, husband etc)
Spiritual preference or Religion or none
Primary Carer Relationship to patient
Carer's Home/work ph: Carer's cell ph:
 
Relevant Medical History
 
Amitabha Hospice complies fully with the Privacy Act. Thank you for completing this referral. To make a copy for yourself, print ("file", "print") before sending.

Thank you!