Hospital Visitation Authorization Form

This form enables people not traditionally recognized as family members to gain priority visitation rights. Once completed and signed, it should be kept with the advance directive.

Compassion & Choices
8156 S Wadsworth Blvd #E-162
Littleton, CO 80128

Mail contributions directly to:
Compassion & Choices Gift Processing Center
PO Box 485
Etna, NH 03750

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