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Hospice Annual Statistical Report
Current Survey: Year 2021

The survey is due by September 30th, 2022.

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First time user? Register please. New User Register Button

If you forgot your password from last year's survey, then Register a new login and select your own password. Click the Register button to do this.

If you forgot your password for records already entered, or partially entered, for this year's survey then email the online survey support person, David Rasmussen, for assistance.

Be sure to completely read all instructions. Get Instructions Here
A separate report must be completed for each county served.
A sample report form may be downloaded before starting. Sample Report

Email for Online Survey Technical Support