Application for Hospice Grief Services


The Community Hospice provides free grief support services to families in upstate NY who are grieving the death of a family member or friend. A Bereavement Counselor will meet with you and your family to discuss the programs and services we have available. Services may include:

-Individual or Family grief counseling, for adults and children
-Support Groups, including Widow/Widowers, Daughters Group, Living with Loss etc.
-Camp Erin, a weekend camp for grieving children and teens, 6-17 years old
-Wave Riders, a six week program for grieving children and teens, 3-17 years old

These services are free of charge, and are available to everyone, regardless of whether the person who died was a Hospice patient. Additional supports are available for schools and organizations in our community, including training, support groups, memorial services, outreach and a crisis support team.

Once you have submitted your request, we will contact you within 5 business days.
Applications must be submitted by individuals requesting services and legal guardians.

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    Children's Services - Camp Erin, Wave Riders, or Counseling

    If you are applying for any services for children, including Camp Erin, Wave Riders, or counseling, please complete the section below. Otherwise, please skip this section.
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    Loss History

    Please share with us some information about your most recent loss.
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    Services

    Please share with us what services you have received in the past, and what services you are requesting more information about.
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