Refer A Patient

Anyone — whether it be a physician, family member, friend, or clergy — may refer a patient to HospiceCare of the Piedmont. Admission to the program will be determined by our simple admission criteria. Patients should be referred to HospiceCare as early as possible after a life-limiting disease is diagnosed. This will allow the patient & family to receive the maximum benefit from hospice services.

Thanks for your interest in referring a patient to HospiceCare of the Piedmont!  We can accept your referral information via our secure online system. Once submitted, HospiceCare of the Piedmont will contact you if additional information is required.  Thank you!

Click Here for the Referral Form

(The referral form will open in a new window or tab.)