Questions? We're here for you.
Anyone can refer a person to Agrace for care. Use this form to start the conversation.
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.
When you complete this inquiry form, please do not use the name of the person you think would benefit from hospice or palliative care services. This is not a secure form, and we need to protect their privacy. 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. Thank you for understanding.
If you would like more information, have questions about eligibility or would rather make a referral by phone, please call the number below. Our helpful admissions staff is just a phone call away, 24 hours a day, seven days a week, including holidays.