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. Long-term care (LTC) facility staff: If you work for a LTC facility and are referring a resident, use the “I am LTC staff …” button below.

I am making a referral    I am LTC staff referring a resident