Application for Hospice Grief Services
The Community Hospice provides free grief support services to those who are grieving the death of a family member or friend.  Services are provided at the following locations:

The Community Hospice, 445 New Karner Road, Albany, NY 12205
The Community Hospice, 295 Valley View Blvd, Rensselaer, NY 12144
The Community Hospice, 179 Lawrence Street, Saratoga Springs, NY 12866
The Community Hospice, 47 Liberty Street, Catskill, NY 12414

More information on our services can be found on our website 

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 five 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 a few business days.

Applications must be submitted by individuals requesting services or the legal guardian.

Please call 518-724-0200 if you have any questions or concerns.  Thank you for your interest.
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Email *
First Name *
Of the adult seeking services, or of the legal guardian if a minor.
Last Name *
Of the adult seeking services, or of the legal guardian if a minor.
Phone Number *
Best number for contact during normal business hours. You may list more than one phone number. Please include area code.
Mailing Address *
City *
State *
Zip Code *
Emergency Contact- Name *
Emergency Contact- Phone Number *
Emergency Contact- Relationship to Client *
Mental Health Counseling Experience *
Mental Health Diagnoses
Services Requested *
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