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Make A Referral 

At Legacy Hospice, we are here for you. We care for you, those you care about, and those who are entrusted into your care. When you make a referral you are rest assured that your loved one or patient, will receive the utmost care and love in this precious chapter of their life.

Our team is ready to serve you and to respond to your referral right away.

How do I know if someone needs hospice services?


If they have the following medical conditions or have a life-limiting illness such as:


  • Alzheimer's

  • Cancer

  • Cardiac Circulatory Diseases

  • Respiratory Diseases

  • End Stage Liver 

  • Kidney Disease

  • ALS or Lou Gehrig's Disease 

  • Other Degenerative or Neurological Diseases

Or when the following starts to happen:

  • Frequent trips to the Emergency Room or extended hospital stays

  • Unable to care for self

  • Be receptive to hospice care, which means that aggressive treatment is no longer pursued



Am I the right person to make a Referral?


The following people can make a referral



          Family member



          Anyone can submit a Referral Form




What is the process of making a referral?

You can make a referral by calling us, filling out our online referral form. You can also download and fill out the referral form if it is convenient for you to do so

Patient Referral Form

We are here for all your hospice needs

Thanks for submitting!

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