Patient/Family Referral Form

Please call 503.648.9565 if you would like to make a referral.

Medical Professionals: Please call us at 1-888-968-9565 to refer a patient.

Want to talk to us about your situation and learn more about Hospice or Palliative care? Please complete the Patient/Family Inquiry Form below and let us know how we can contact you.Inquiries can be sent at any time but will be responded to during regular office hours (8 a.m. to 5 p.m.). Some fields are required – for example, we ask for a patient address only to determine whether or not they live in our service area. Contacting us is not a commitment to working with us – our intention is to answer your questions and help you understand choices and resources that can assist you and your loved one. We look forward to being your partner in care for your loved one.

Gratitude…

…a true blessing…

"Our family would like to express our deep gratitude for your compassionate care of our Dad. Your guidance and support allowed us to provide him comfort in his final weeks and days. We were able to honor his desire to be at home with his son and grandson - something we would not have been able to do without you. Special thanks to the entire hospice staff that met his needs. Being willing to work with our rural location was a true blessing. Thank you again SO much!"

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