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Prairie Rose Hospice Palliative Care Society
Prairie Rose Hospice Palliative Care Society
  • Home
  • About
    • What We Do
    • How You Can Help
  • Events
    • Registration
    • Education
    • Other Events
  • Hope for Hospice Care
  • Trees of Hope
  • How To Donate
  • Resources:
    • Forms
    • Media
  • Home
  • About
    • What We Do
    • How You Can Help
  • Events
    • Registration
    • Education
    • Other Events
  • Hope for Hospice Care
  • Trees of Hope
  • How To Donate
  • Resources:
    • Forms
    • Media

Forms

Here you will find a collection of all our forms and registration pages for various events and activities.

Trees Of Hope 2022 (fillable)Download
Trees Of Hope 2022 (printable)Download
Comfort Bag Referral Form (fillable)Download
Comfort Bag Referral Form (printable)Download
In Memory Donation Form (fillable)Download
In Memory Donation Form 2022 (printable)Download

Updates

  • Homemade Quilt Draw
  • 2022 September 18 Memorial Service
  • 2022 AGM -June 7, 2022
Donate Now

Donate now through ATB Cares and ATB will match 20% of your donation (up to $500). Thank-you for supporting local palliative care!

Categories

  • Education
  • Events
  • Fundraisers
  • Meetings
  • News
  • Volunteers

Contact us

Email: prhpcs@gmail.com
Phone: 403 633-9281
Address: Bag 300, 440 3rd St East
Brooks, AB   T1R 1B3

Local Resources

AHS Palliative Care Resource Nurse: 403 501-3210

AHS Home Care Nurse Office
403 501-3244 (Brooks)
403 641-6127 (Bassano)

AHS Volunteer Coordinator: 403-501-3207

SPEC Association Family Resource Link

Local Resources

For equipment and supplies:
AJ’s Loan Cupboard (Medicine Hat)
403 580-5580
Bay #4 602A, Clay Ave. SE, Medicine Hat, AB. T1A 3K2

Medicine Hat Red Cross
398 Aberdeen Street SE, T1A 0R2
Tel: (403) 526-3048
Fax: (403) 529-0540

Helpful Links

Virtual Hospice: Provides answers to your questions on advanced illness, caregiving, loss and grief.

Grief support:
www.mygrief.ca

Alberta Hospice Palliative Care Association

Donate

Donate Now

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