Individual Membership Renewal

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Individual Membership Renewal Dear Member: Hospice Palliative Care Ontario values your membership and participation in the work of the association. Your membership with HPCO which includes Associate status with the Canadian Hospice Palliative Care Association (CHPCA) expires soon. I invite you to renew your membership. Attached is the renewal information package detailing member benefits and the membership renewal form. Your membership and participation helps us achieve our vision which is to be the unified voice of collaborative, quality hospice palliative care in Ontario. HPCO is highly credible and has strong awareness within the sector. We will continue to build legitimacy for hospice palliative care as a much needed and valued healthcare service in all care settings. As we strive for a future where every person in Ontario has access to quality hospice palliative care, HPCO leads the hospice palliative care movement and supports our members to improve access to quality hospice palliative care by providing: Targeted, effective public policy engagement, driving high level system change for building sustainable, high quality hospice palliative care Information, education and resources, enabling members to optimize and leverage resources to deliver high quality hospice palliative care A forum for the exchange of ideas and information, enabling members to learn from each other Some of the benefits of membership in HPCO include: Individual membership with HPCO includes status as an Associate of the Canadian Hospice Palliative Care Association (CHPCA). CHPCA Association gives you the national perspective and access to a wide range of information, services and resources. Access to interest groups and work groups of both HPCO and CHPCA Opportunities to contribute to the development of health policy and position statements, and to support the ongoing development of the hospice palliative care movement in Ontario and Canada HPCO s bi-weekly newsletter to keep you informed of what is happening in the province CHPCA s AVISO newsletter and monthly updates about national issues Member discount on registration for the Annual HPCO Conference A discount for CHPCA conferences and webinars A discount on HPCO publications and on merchandise offered in the CHPCA online marketplace Access to HPCO s affinity program with Dignity Memorial which provides funeral service discounts, a 24-Hour grief support line, and $2,500 Child/Grandchild Protection Certificate Media and issues alerts Your membership is important and your participation is valued. I do hope you will renew your membership today. The attached pdf file has a fillable form you may complete and return by email, or by fax or mail. We look forward to working with you and on your behalf in 2017. Sincerely, Rick Firth President & Chief Executive Officer Hospice Palliative Care Ontario

Benefits of Individual Membership Our Purpose: We strive for a future where every person in Ontario has access to quality hospice palliative care. Our Vision: to be the unified voice of collaborative, quality hospice palliative care in Ontario. Our Mission: to provide leadership on behalf of our members by informing policy and promoting awareness, education, knowledge transfer and best practices in the pursuit of quality hospice palliative care in Ontario. Why Join HPCO? HPCO leads within the palliative care movement and supports our members to improve access to quality hospice palliative care by providing: Targeted, effective public policy engagement, driving high level system change for building sustainable, high quality hospice palliative care Information, education and resources, enabling members to optimize and leverage resources to deliver high quality hospice palliative care A forum for the exchange of ideas and information, enabling members to learn from each other Legitimacy: Membership significantly enhances the overall legitimacy of the hospice palliative care movement in Ontario and Canada. Credibility in numbers: The larger the membership base the more effective Associations are in many aspects of their mandate such as awareness raising, program development, setting standards, and advocating on behalf of the sector. Effectiveness: Membership and participation in the Association ensures that our work is relevant to our mandate, vision and mission, contributes to the development of the hospice palliative care movement and to the evolution of public policy. Access: Membership provides access to information, expertise and colleagues across the province and across the country through association with the Canadian Hospice Palliative Care Association. Membership gives access to conferences and educational opportunities specific to hospice palliative care.

Benefits of Individual Membership Specific Benefits: Individual membership with HPCO includes status as an Associate of the Canadian Hospice Palliative Care Association (CHPCA). CHPCA Association gives you the national perspective and access to a wide range of information, services and resources. Access to interest groups and work groups of both HPCO and CHPCA Opportunities to contribute to the development of health policy and position statements, and to support the ongoing development of the hospice palliative care movement in Ontario and Canada HPCO s bi weekly newsletter to keep you informed of what is happening in the province CHPCA s AVISO newsletter and monthly updates about national issues Member discount on registration for the Annual HPCO Conference A discount for CHPCA conferences and webinars A discount on HPCO publications and on merchandise offered in the CHPCA online marketplace Access to HPCO s affinity program with Dignity Memorial which provides funeral service discounts, a 24 Hour grief support line, and $2,500 Child/Grandchild Protection Certificate* Media and issues alerts *Please see attached pages for more details.

Dignity Memorial has a network of more than 1,800 funeral, cremation and cemetery service providers in North America who understand the special challenges families face when dealing with loss and are committed to helping families before, during and after the funeral service. Should you ever need immediate care or decide to make funeral arrangements for yourself or others in advance, the Dignity Memorial team stands ready to provide service and support. Persons Eligible for the Dignity Memorial Affinity Program: Individual members of HPCO Spouse/domestic partner of individual members of HPCO Children, grandchildren, great-grandchildren (Natural, adopted or step-children) of individual members of HPCO Parents, grandparents and great-grandparents (including spouse/domestic partner) of individual members of HPCO Benefits Include: 10% Savings on all funeral or cremation products and services when you select a Dignity Memorial provider. 10% Savings on cemetery interment rights, products and services through Dignity Memorial affiliated cemeteries. National Transferability on prearranged services at no additional charge at any Dignity Memorial provider nationwide. Bereavement Travel Services which provides assistance with airfares, hotel accommodations and car rental for travel to attend a funeral, cremation, and memorial or graveside service. $2,500 Child/Grandchild Protection Certificate that can be used in the unfortunate event of the death of an unmarried child or grandchild under the age of 21. This certificate provides a credit of up to $2,500 towards the cost of funeral or cremation services and merchandise. The Personal Planning Guide that allows you to document your final wishes, as well as, estate and financial information. One year unlimited access to the 24-Hour Compassion Helpline, a telephone grief support program staffed with trained counselors. Access to the Dignity Memorial Guidance Series, a collection of booklets, DVDs and CDs offering professional advice and compassionate insight. 100% Service Guarantee. Enrollment in the program is not required to take advantage of benefits offered. All you need to do is provide Dignity Memorial with your HPCO membership receipt for the current year. Savings apply to prearranged services or services at time of need. When a death occurs, lives are suddenly interrupted; friends and family have to be contacted quickly, and many stressful decisions have to be made in a short period of time. When you choose a provider within the Dignity Memorial network, you are entitled to valuable benefits that will help alleviate some of the financial and emotional burdens that often take place. The benefits are available at any Dignity Memorial provider nationwide. To find a Dignity Memorial provider near you, call 24 hours 1-800-343-4464, visit www.dignitymemorial.ca or contact Colleen Bone at 416-281-6800.

3 Individual Membership Application Individual membership is open to any individual with an interest in hospice palliative care and furthering the work of Hospice Palliative Care Ontario. Memberships are for a one year period commencing on the date we process your application. Under an agreement between Hospice Palliative Care Ontario (HPCO) and the Canadian Hospice Palliative Care Association (CHPCA), all individual members of HPCO automatically become an Associate of CHPCA. CHPCA affiliation gives you the national perspective and access to a wide range of information, services, resources, and interest groups. Individual Membership Fee is $80. New membership Renewal Your Name: Organization Name: Your Position: Mailing Address: City: Prov.: Postal Code: Telephone: Email: My primary affiliation with hospice palliative care is: I work in hospice palliative care I am a volunteer I am a supporter of hospice palliative care Interest Groups If you would like to join one of HPCO s or CHPCA s interest groups, please indicate the group(s) below. By selecting an interest group, you grant permission for HPCO and/or CHPCA to contact you by email. HPCO Interest Groups Interest Group Name Rural Hospice Palliative Care CHPCA Interest Groups Interest Group Name Aboriginal Issues Pediatric Issues Spiritual Advisors Social Workers/Counsellors Volunteer Issues Rural and Remote Issues Long Term Care/Continuing Care Canadian Hospice Palliative Care Nurses Group memberships are now being processed online by the CHPCA. To join the nurses group or to renew, please go to http://www.chpca.net/become a member/nurses.aspx member. 2017 Individual Membership Application

Payment Method Cheque payable to Hospice Palliative Care Ontario OR by Credit Card: Visa MasterCard AMEX Name on Card: Credit Card #: Expiry Date: Signature: If paying by cheque, please mail payment along with the membership application form to: Hospice Palliative Care Ontario Attention: Paula Neil 2 Carlton Street, Suite 707 Toronto, ON M5B 1J3 If paying by credit card you may: fax your application to 416 304 1479, or email the form to pneil@hpco.ca, or call Paula at 416 304 1477 ext. 27 Office Use Date Received: