Written by a parent, not a doctor. Nothing here is medical advice.

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Get ready to apply

North Dakota Health and Human Services

Children's Hospice Waiver

What you get

Nursing, respite, comfort care alongside treatment, expressive therapy, grief counseling, and supplies. Open now.

Who starts it
You, with a letter from your doctor
How it’s sent
PDF form, sent the way they ask
Your time
About 15 minutes, plus waiting for the letter
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 21 or under.
  • Your child must need skilled nursing care and have a life expectancy of one year or less.

  1. Ask your doctor for the letterStart here. This is the part that takes the longest.

    North Dakota Health and Human Services needs a letter from your doctor. Copy this message, or say it in person at the next visit.

    Hi [doctor’s name],

We’d like to apply to North Dakota Health and Human Services’s Children's Hospice Waiver. They offer nursing, respite, comfort care alongside treatment, expressive therapy, grief counseling, and supplies, and they are taking applications now.

They need a letter from you confirming [child’s name]’s diagnosis and our situation. Their form and instructions are here: https://www.hhs.nd.gov/cfs/children-waivers

Could you write that when you have a chance? I’ll bring the printed form to our next visit, or I can email it. Thank you for everything you do for us.

[your name] · [phone]
    Copying is the only thing this page does with your text. Nothing is saved.

  2. Fill in their formPrint it, or fill it in on screen if the PDF allows.

    Open the application PDF ↗ Checked Aug 27, 2026

    What the form asks for

    Children’s Hospice Waiver Application questions
    Name, telephone, address, Medicaid statusMother's and Father's names and contact informationPhysician name, clinic/hospital and telephoneLife Limiting DiagnosisLetter from Primary Physician attachedHospice agency and nurse case manager choices

    Have ready

    • Completed waiver application.

  3. Send it the way they ask

    • Email or mail the form and physician letter.

After you send

Keep a copy and follow up with their staff if receipt is not confirmed.

Full record, as published