Refer a Patient

Anyone can refer a patient to Agrace. You do not need to wait for a doctor’s referral to contact us and ask about our care. We admit patients to hospice care seven days a week, including holidays, because time is precious.

We will call you or respond to your emailed questions, but this will not be an “official” referral until we also speak to the patient and their doctor. Click “I am making a referral” below to open the form. Clinic and Long-term care (LTC) facility staff: If you work for a Clinic or LTC facility and are referring a patient or resident, use the “I am Clinic or LTC staff …” button below.

I am making a referral    I am Clinic or LTC staff referring a patient/resident