Submit referral
Send demographics, location, referrer details, and available clinical notes.
Refer a patient
Send a secure hospice or palliative care referral to Treasure Coast Hospice. Our admissions team reviews referrals promptly and follows up with the patient, family, or referring office.
What happens next
Clear next steps for care coordination
This form starts the intake conversation. Treasure Coast Hospice confirms clinical details, patient and family needs, physician authorization when needed, and the best timing for an assessment.
Clinical review
Admissions reviews the referral and follows up with the family or care team.
Assessment planning
The team coordinates the appropriate bedside or home assessment.
Secure referral
Send patient details to admissions
Clinicians can include diagnosis, insurance, NPI, and document references. Families can use the simpler path to request help starting the care conversation.
For urgent help, call 772-403-4500. If the secure form is delayed, fax a face sheet to 1-888-466-7578.