Hospice Of Michigan Volunteer Documentation Volunteer Information Volunteer Name: Submit Form To: -- Please Make a Selection -- Alana Knoppow Alison Wagner Alpena Volunteers Ann Thomas Anne Schippers Big Rapids Volunteers Breanna Rodwell Cadillac Volunteers Danielle Locks or Jess Dailey Gaylord Volunteers Kathy Lietaert Laura Hewson Lauren Becker-Barkman Ludington Volunteers Macomb Volunteer McKenna LeCouffe Megan Cadle Paige Heys Ruth Moore-Lilly Traverse City Volunteers 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 S100 COVID Screening and Temp Check 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 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 V250 Compassionate Call V260 Grief Support, Admin Phone Call V270 Respite Visit in LTC Facility V700 My Music Program Visit V800 Virtual Spiritual Support V801 Virtual Grief Support V802 Virtual Companionship V803 Virtual Pet Visit V804 Virtual Vigil V805 Virtual My Stories V806 Virtual Veteran to Veteran V807 Virtual Patient Music Visit V808 Virtual Art Program V809 Virtual Mailings Cards V810 Remote Patient Support V811 Intern Training V812 Intern Documentation   Description:     This activity includes companionship visit for patient, family or significant other.