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Home » Community Hospices » Make a Referral

Make a Referral

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Referring Patients for Hospice Care

Anyone can make a referral for hospice care a patient, a family member, a friend, or a physician by calling us 24 hours a day, seven days a week at 1-866-234-7742. Physicians can fax information to 1-866-410-2780.

To qualify for hospice services, patients' physicians must be willing to certify that, given the normal course of the disease, patients' life expectancy is six months or less.

If patients outlive the six-month prognosis, hospice services can continue as long as the personal doctors and the hospice medical director agree that the patients are still appropriate for hospice care.

Patients and/or their families must live within the hospice service area to qualify for hospice care, and must want palliative treatment rather than curative treatment. Patients are accepted for hospice care regardless of race, color, creed, religion, sex, or national origin.

Physician Referrals

Community Hospices takes referrals 24 hours a day, seven days a week, 365 days a year. For each patient that a physician refers, we need (via fax at 1-866-410-2780):

  1. a patient demographic page (name, address etc.)
  2. a patient history and physical information
  3. at least the last three (3) clinical notes
  4. the most recent hospital labs


Please call 1-866-234-7742 if you have questions.

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