Preparing for a Hospice Referral
When referring your patient to hospice, there is certain information that you will be asked to furnish. This information includes:
- Patient's name and demographic information - generally furnished on the face-sheet
- The terminal diagnosis
- Clinical information, such as the History and Physical (H&P) or the latest notes
- Insurance data
- Disposition (*note - for complex disposition issues, hospice social workers are available for consultation)
- Names and phone numbers of POA and/or caregivers
- Name of the physician
You may supply this information verbally over the phone, or for your convenience you may fax the information to the admissions department. To ensure that a faxed referral receives prompt attention, please call the admissions department to give notice of the incoming fax.
To reach the admissions department:
By phone: (800) 717-3811
By fax: (269) 428-3499
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