Patient Referral – (when to refer a patient for Hospice Care)


  • Bed bound patient requiring teaching of family to manage dependent patient 
  • Patients needing dressing changes and monitoring of wounds following surgery 
  • Open wounds, ulcers, or burns 
  • Newly diagnosed medical conditions or complex, debilitating symptoms, which require skilled monitoring, and/or health teaching 
  • Newly diagnosed or poorly controlled diabetes + Medications requiring anticoagulants, antihypertensives, cardiac meds, analgesics, chemotherapeutic agents, etc
  • Pressure ulcers
  • TPN patients or family needs monitoring and instruction about terminal illness with needs for Symptomatic Control – if not appropriate for hospice 
  • Ostomies
  • Patients requiring durable medical equipment may need physical therapy to train on the proper use of the equipment
  • Patients with hydration and nutrition problems
  • Frequent admissions to the hospital


Click here for Hospice Referral Form (PDF)


Our Contact Page

Anyone can refer a patient to a hospice program. However, a physician must give the order to admit a patient into hospice care. Referrals can be made by the patient, a family member, physician, a member of clergy, discharge planner or another concerned professional or friend.