716-686-8077
Contact Us
Donate
Covid - 19 Policy
Volunteer
News
Events
Careers
Refer Someone
Our Services
Our Services
Services Overview
Veteran Support
Hospice Care
Expressive Therapies
Social Work
Perinatal Program
Palliative Care
Grief Support
Essential Care For Children
Spiritual Care
Resources
Resources
Resources Overview
Our Research
Understanding Hospice vs. Palliative Care
Advance Care Planning
Caregiver Resources
Healthcare Provider Resources
Give & Get Involved
Give & Get Involved
Give & Get Involved Overview
Fall Appeal
Donate Now
Support Special Events
Designate Your Donation
Create A Legacy
Host your own fundraiser
Tributes & Memorials
Volunteer Your Time
Share Your Story
About Us
About Us
Our Mission
Leadership & Board
Our History
Hospice Foundation
News
News
Press Releases
Hospice & Palliative Care Buffalo Announces Vaccine Requirement
Hospice Buffalo Celebrates National Hospice & Palliative Care Month
The Hospice Foundation of WNY Receives Grant for Camp Blue Skies
Raising Awareness about the Benefits of Hospice and Palliative Care
PCI Receives Grant from Wilson Legacy Fund to Help Children's Caregivers
Camp for kids who’ve experienced the death of someone they love
Dave and Joan Rogers establish $1million Endowment Fund to Essential Care for Children
Hospice Buffalo Receives Hospice Honors Elite Award
Hospice Buffalo Announces 2018 Board Appointments
New COO for Hospice Buffalo
Buffalo Medical Group – Oncology Team Honored by Palliative Care Buffalo
Hospice Buffalo Receives 2017 Hospice Honors Elite
Patrick Flynn Appointed to HPCANYS Board
Kerr Named Chief Executive Officer of The Center for Hospice & Palliative Care
Hospice Buffalo appoints Romanowski, MS
Hospice Buffalo receives grant for document management system
Study Conducted by The Palliative Care Institute Indicates Dreams and Visions Provide a Profound Source of Meaning and Comfort for the Dying.
The Ralph C. Wilson, Jr. Foundation Donates $2 Million to Hospice Buffalo
New Direction Announced for St. John Baptist Hospice Buffalo Inpatient Unit
Hospice & Palliative Care Buffalo Featured in Tucker Carlson Segment on Fox Nation
Hospice & Palliative Care Buffalo receives Grant to support their graduate nurse residency program.
HPCB Receives six million dollar commitment to design a new space on campus
In The News
Letter: Learn the Benefits of Hospice, Palliative Care
Cost Savings, Rising Awareness Boosting Palliative Care Growth
Self-Care and Caregiver Tips
NHPCO Announces Providers Successfully Earning Quality Connections Rings in First Quarter of 2021
Hospice and Palliative Care Buffalo names new medical director
Hospice doc readies for film festival tour on dreams at end of life
Announcing the Frances A. Little Hospice Wing at Aurora Park
Kindness, Grace, and Appreciating Older Adults
A New Vision for Dreams of the Dying
Hospice Patient Shares Artwork One Final Time
Not Taught in Med School: Interpreting Dreams of the Dying
The Soul of Hospice
Somali Refugee Children Connect with Deaf Students on a Basketball Court
“People don’t understand what goes on in here”: A consensual qualitative research analysis of inmate-caregiver perspectives on prison-based end-of-life care.
Study on Inmate Peer Care Program Finds that Caring for Dying Fellow Inmates can Facilitate Positive Growth for the Incarcerated
Dr. Christopher Kerr Featured on Grief Dreams Podcast
Brookdale Kenmore Partners in Caring Plaque Presentation
Hospice Helps Patients and Families Focus on Quality of Life
Steve Tasker Visits Hospice Patient
Primary Care of WNY Recognized for Early Detection of Patients’ Palliative Care Needs
Orchard Heights Recognized for Exceptional Care Collaboration with Hospice Buffalo
Announcing New Hospice Partnership with Catholic Health at McAuley Residence
Paying to Keep Seniors Out of the Hospital
It’s never too late to say ‘thank you’ to our nation’s Veterans
American College of Healthcare Executives program "A Conversation with an Executive: Patricia Ahern"
Hospice Buffalo receives $1250 check from the Grange
Hospice to place former Gilda’s Club Mansion at 1140 Delaware Avenue on Market - Proceeds to Establish Endowment Fund
THE FOLLOW - UP Expert advice to help you plan for end-of-life care
Selfless Among Us: Dr. Christopher Kerr of Hospice Buffalo
Hope Rises: Hospice does more than one might think
Hospice & Palliative Care Buffalo renames campus to honor co-founder
Loss Beyond the Bedside
Mother Cabrini grants go to mental health, workforce training and dental care groups
Why Dying People Often Experience a Burst of Lucidity
The Dreams that Help to Face Death with Sweetness
Andrew Dodges gave a fortune to hospice. But the rest of his life story might top that.
Local doctor is a global advocate for better care
Healthiest Employers: Finalists in the 250-499 employees category
Taking Care Of The Caregivers At The Holidays
What Deathbed Visions Teach Us About Living
WBBZ-TV’s Buffalo on the Rising Show with Joe Chile
Why people at the end of their lives see loved ones who have been dead for years
Readers Share Stories of Their Loved Ones’ Deathbed Visions
Two women I will never forget: My experience at Hospice & Pallitive Care Buffalo
New place of respite
Journeys Publications
Contact Us
Contact Us
Help For A Loved One Or Myself
Make A Speaker Request
Community Grief Support
Update My Address
Essential Care For Children
Send A Free Evaluation Request
Refer Your Patient
Refer A Loved One
Hospice Bereavement
Volunteer
General Questions
Photo Release
Hospice Helpers Application
Tribute Gifts Listing
716-686-8077
Contact Us
Contact Us
Loading...
I would like to
Choose a contact option
Get Help for a Loved One or Myself
Learn more about Grief Support
Learn more about Essential Care for Children
Refer a patient
Volunteer
Share my story
Make a speaker request
Update my address
Submit a Photo Release
Ask a general question
Name
Email Address
Comments
Comments2
Request help for a loved one or myself from Hospice & Palliative Care Buffalo
Your First Name
*
Your Last Name
*
Your Phone Number
*
Email
Relationship
*
Relative
Friend
Self
Other
Patient's First Name
*
Patient's Last Name
*
Most Serious Illness
*
Patient's Insurance Plan
Patient's Physician's Name
Brief Question or Concern
*
How did you hear about us?
*
Radio
TV
Social Media
Journeys Publication
Word of Mouth
Outdoor Billboard
Bus Shelters
Hospital Liason/Physician
Other
Other
Request help for community grief support from Hospice & Palliative Care Buffalo
First Name
*
Last Name
*
Email
*
Daytime Phone
*
Brief Question or Concern
*
How did you hear about us?
*
Radio
TV
Social Media
Journeys Publication
Word of Mouth
Outdoor Billboard
Bus Shelters
Hospital Liason/Physician
Other
Other
Refer your patient to Hospice & Palliative Care Buffalo
Your Name
*
Name of Medical Office you Represent
Phone Number
*
Patient's First Name
*
Patient's Last Name
*
Patient's Insurance Plan
Patient's Estimated Prognosis
*
6 months or less
More than 6 months
Patient's Diagnosis
*
Brief Question or Concern
*
Essential Care for Children
Your Name
*
Your Phone Number
*
Your Email
Preferred Method of Contact
*
Phone
Email
Relationship
*
My Relative
My Friend
Other
Patient's Name
*
Most Serious Illness
*
Patient's Insurance Plan
Patient's Physician's Name
Brief Question or Concern
*
How did you hear about us?
*
Radio
TV
Social Media
Journeys Publication
Word of Mouth
Outdoor Billboard
Bus Shelters
Hospital Liason/Physician
Other
Other
Become a Volunteer at Hospice & Palliative Care Buffalo
Name
*
Street Address
*
City, State
*
Zip Code
*
Email Address
*
Telephone: Home
Telephone: Cell
Telephone: Work
Can you receive calls at work?
Yes
No
Current Place of Employment & Position
*
Date of Birth
*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Emergency Contact
*
Relationship
*
Emergency Contact Phone
*
Emergency Contact Address
*
How did you find out about Hospice Volunteering?
*
Utilized services in the past
Newspaper/TV/Radio ad
Social Media
Website
Word of Mouth
School/Organization Volunteer Hours
School
Grade
School Contact
School Contact Phone
Parent/Guardian
Parent/Guardian Phone
Most schools require a certain amount of volunteer hours for specific courses or graduation. Will you be fulfilling these hours through volunteering with Hospice?
Yes
No
If yes, how many hours do you need?
Do you plan on volunteering after you've completed your hours?
Yes
No
Military Experience: Branch
Dates of military service
Interest and/or Certification
Computer
Home Repairs
Notary
Sewing
Cooking/Baking
House Cleaning
Reading aloud
Yardwork
Hairstylist
Musician
Registered Nurse
Videography/Audio
Are you fluent in a foreign language or American Sign Language?
Other: Please Explain
Time Availability *
*
Weekday Mornings (7am-12pm)
Weekday Afternoons (12pm-5pm)
Weekday Evenings (5pm-9pm)
Weekday Overnight (9pm-7am)
Weekend Mornings (7am-12pm)
Weekend Afternoons (12pm-5pm)
Weekend Evenings (5pm-9pm)
Weekend Overnight (9pm-7am)
Desired Areas of Volunteering
*
Special Events
Administrative
Patient Support/Direct Care
Administrative Services (M-F daytime positions)
Phone receptionist
Greeting campus visitors
Cafe
Baking
Filing
Nurses' station receptionist
Mailings
Gardening
Direct Care/Patient Support
Visit patients in their homes (hospice & pre-hospice)
Visit patients in the inpatient unit (Cheektowaga)
Visit patients in a facility (nursing home/ assisted living /hospital/group home)
Visit bereaved families
Hairdresser (copy of current license required if providing services to patients)
Pet therapy
Phone support
Delivering birthday cakes to patients
Audio recording of patients' stories
Patient/caregiver transportation
Evening & weekend refreshment cart (inpatient unit in Cheektowaga)
Veterans helping veterans
Children's programs
Special Events
Yes
No
Have you experienced the loss of a loved one in the past year? If so, please briefly describe:
Have you been convicted of a crime? *
Yes
No
If yes, please explain:
References
Two references are required of Hospice & Palliative Care Buffalo volunteers. Please note, referances should be professional in nature. Members of your family will not be considered as references regardless of any professional relationship with them. References from work or volunteer assignments are most helpful. Please use full names & provide complete addresses.
Name (1st reference)
*
Street Address
*
City/State
*
Zip
*
Email Address
Phone
*
Position/Relationship to you
*
Name (2nd reference)
*
Street Address
*
City/State
*
Zip Code
*
Email Address
Phone
*
Position/Relationship to you
*
I hereby authorize Hospice & Palliative Buffalo to request of the above individuals' information regarding my appropriateness as a Center for Hospice & Palliative Care volunteer.
*
Sign electronically with your full name.
I grant full permission to Hospice & Palliative Care Buffalo and its affiliates to use photographs of me for print and/or digital promotional purposes.
*
Sign electronically with your full name.
Send a general question to Hospice & Palliative Care Buffalo
Name
*
Address
Email Address
*
Phone
Brief Question or Concern
*
How did you hear about us?
*
Radio
TV
Social Media
Journeys Publication
Word of Mouth
Outdoor Billboard
Bus Shelters
Hospital Liason/Physician
Other
Other
Update your address with Hospice & Palliative Care Buffalo
First Name
*
Last Name
*
Email Address
*
Phone Number
Address
*
City
*
State
*
Zip Code
*
I Would Like To:
*
Update my mailing address
Receive email communication
Communication via mail
Unsubscribe to emails
Unsubscribe to mailing list
Unsubscribe to both emails and mailing list
Brief Question or Concern
*
Share your story
Full Name
*
Address
City
State
Zip Code
Phone Number
Email
Patient Name:
Please provide the name of the care team and/or individual(s) you wish to recognize:
Share a Message...
By clicking Submit, you grant Hospice & Palliative Care Buffalo (HPCB) permission to share your story with the public, on HPCBs website, publication, social media or print materials in part or its entirety. If necessary, we may contact you for additional details. Your contact information will not be shared outside of HPCB.
I agree to sharing my story
Submit a speaker request to Hospice & Palliative Care Buffalo
Name
*
Email
*
Phone
*
Organization/School Name
*
Address
*
Anticipated Dates
*
Type of Speaker
*
Research Education
Informational
Desired Topic
*
Brief Question or Concern
*
Photo Release Form
Name of Person in Photo/Audio/Video
*
Please select
*
Patient
Community
Staff
Address
*
Phone
*
Please select
*
Cell
Home
Work
Email
*
Please complete this section if primary caregiver providing authorization signature below
Name
*
Relationship to patient
*
Address
Phone
*
Please select
*
Cell
Home
Work
Email
*
Please Sign
Electronic Signature
*
Date
*
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Internal Use ONLY
Event/Occasion
Name of Hospice Staff obtaining authorization
Title
Department
Request help for a loved one or myself from Hospice & Palliative Care Buffalo
Your First Name
*
Your Last Name
*
Your Phone Number
*
Email
Relationship
*
Relative
Friend
Self
Other
Patient's First Name
*
Patient's Last Name
*
Most Serious Illness
*
Patient's Insurance Plan
Patient's Physician's Name
Brief Question or Concern
*
How did you hear about us?
*
Radio
TV
Social Media
Journeys Publication
Word of Mouth
Outdoor Billboard
Bus Shelters
Hospital Liason/Physician
Other
Other