Hospice Of Michigan Volunteer Documentation Volunteer Information Volunteer Name: Submit Form To: -- Please Make a Selection -- Alana Knoppow Alison Wagner Alpena Volunteers Angela Greene Ann Thomas Brittany August Caroline Arbour Claire Fisher Deborah Davis Gaylord Volunteers Janet Chiesa Julie Tipping Kathy Lietaert Kathy Sandage Kristin Neumann Macomb Volunteer Ruth Moore-Lily Remember my name and Submit To Patient Information Patient ID: Patient Name: Visit Information Date:   Start Time:   End Time:   AM PM   AM PM Notes: Direct Duration: Indirect Duration: Hours Minutes Hours Minutes Travel Duration: Total Miles: Hours Minutes (Round Trip)   N500 Attempted Patient Visit V201 Household Chores V203 Volunteer Phone Contact V204 Spiritual Support V205 Group Activity V206 Licensed Professional V207 Grief Support V208 Relief for Caregiver V209 Companionship V210 Office Support V211 Community Outreach V212 Education V213 Fundraising V214 Grief Support, Group V215 Grief Support, phone contact V216 Orientation V217 My Stories Program V218 Bedside Vigil V219 Pet Visits V220 Bereavement, Memorial/Funeral Visits V221 Veteran To Veteran Visit V222 Veteran Community Outreach V223 Patient Music Visit V224 Grief Support Event V225 Support for Grief Department V226 Facility Event/Activity V227 Health Fair/Expo V229 Community Education Event V240 Pediatric Early care visit   Description:     This activity includes companionship visit for patient, family or significant other.