Refer a patient
Refer in minutes. We’ll take it from there.
Physicians, discharge planners, facilities, and families can all start a referral here. A referral coordinator responds promptly, verifies eligibility and benefits, and schedules a timely evaluation, often the same day.
- Response within one business hour
- Same-day admissions available
- Nurse line 24/7
Online referral
Secure referral form
Protected health information is transmitted through a HIPAA-compliant, encrypted form. Please do not send patient details by regular email.
Prefer to call or fax?
Phone: (818) 839-3333 referral coordinators and nurses, 24/7
Fax: (747) 240-3511 (send the face sheet, H&P, and physician order)
Helpful to include:
- Patient name, DOB, and current location
- Terminal diagnosis and clinical notes
- Face sheet with insurance information
- Attending physician contact
- Medication list; advance directive or POLST if on file
Families welcome
You do not need a doctor’s order to call us. If you think a loved one may be ready for hospice, call and a nurse will talk through the situation with you and coordinate with the physician for you.
We confirm receipt
A referral coordinator confirms we received your referral and gathers anything missing.
We verify and evaluate
We check eligibility and benefits, then schedule an evaluation visit, often the same day.
Care begins
The admission nurse starts the plan of care, medications, and equipment. You and the family stay informed throughout.