Upon receiving a hospice referral, a hospice nurse and a social worker will visit the patient to conduct an initial assessment and to discuss whether hospice care is warranted. Once it is determined that the patient is medically eligible for and agreeable to hospice services, the hospice admission can take place. If hospice care is deemed appropriate, the patient may be admitted to hospice services. The appropriate level of hospice care will then be determined by the interdisciplinary team in collaboration with the patient and family. The nurse’s assessment skills and knowledge of hospice levels of care are integral to the hospice admission process and ongoing determination of the patient’s and family’s needs. This chapter helps the nurse to conduct a hospice admission, orient the patient and family to hospice services, assess ongoing eligibility for hospice care and identify the levels of hospice care.