Annual Volunteer Evaluation

  • Hospice Austin is required by our accrediting agency (Community Health Accreditation Program) to provide each volunteer with annual education about privacy rights, infection control, and patient rights. Because this is mandatory, in order to continue as an active Hospice Austin volunteer, we must receive this completed form back from you. Please read and answer the questions below.


    Remember to honor patients’ privacy and keep all information confidential. Don’t share any information about a patient/family with anyone without obtaining permission from your supervisor to ensure that we have appropriate consent. This includes anyone asking how the patient is doing even if they say they know the patient.


    Suspected fraud, abuse, neglect, and exploitation- if you have any suspicions that a patient is being abused, neglected, or exploited by anyone (including a Hospice Austin employee or volunteer), you must report your suspicions to the volunteer coordinator immediately.

    Suspected Medicare billing fraud or Identity theft- if you suspect fraud of any kind, including Medicare/ Medicaid/ Private Insurance or Identity theft, you must report your suspicions to the volunteer coordinator immediately.


    Remember to wash your hands for 20-30 seconds before and after patient contact or use hand sanitizing gels containing at least 60% alcohol. If you are sick, protect yourself and your patients and stay home and rest up.


  • By clicking this button, I certify that I am the volunteer named above and that all the information I have entered here is true and correct to the best of my knowledge.