HOSPICE REFERRALS
New Referrals to Faith Hospice
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WHO IS ELIGIBLE FOR HOSPICE?
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A person is eligible for hospice if they have been diagnosed with a terminal illness and given a life expectancy of six months or less if the disease runs its expected course. After a terminal diagnosis, the terminally ill person also intends to seek care focused on comfort and quality of life rather than on curative treatments.
WHO CAN MAKE A REFERRAL?
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A hospice recommendation may come from a palliative care team, a specialist, or a practitioner, but anyone can refer a patient to Faith Hospice, and we’ll be glad to help you.
Click on one of the icons below to make a referral.
PERSONAL
REFERRALS
PHYSICIAN
REFERRALS
SKILLED NURSING & FACILITIES REFERRALS
PERSONAL REFERRALS
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You don’t need a doctor’s referral to access hospice care. Anyone can begin the enrollment process. Give us a call at 616-235-5113 or complete and submit the form below to get started.
For more information on starting the hospice journey, head to the link below.
PHYSICIAN REFERRALS
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Referrals can be made to our Central Intake office 24/7
By phone: 616-235-5113
By fax: 866-466-2891
If you choose to fax and there is some urgency to the referral, please also call the above number to alert us of the pending fax.
ADDITIONAL INFO NEEDED
- Face sheet with Insurance information
- History and Physical
- Most recent office notes with medication list
- Face sheet with Insurance information
- History and Physical
- Most recent office notes with medication list
You can send all of the required paperwork to: referrals@faithhospicecare.org
SKILLED NURSING & FACILITIES REFERRALS
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Referrals can be made to our Central Intake office 24/7
By phone: 616-235-5113
By fax: 866-466-2891
- For referrals via phone, we will also need a face sheet faxed to us
- For referrals from Assisted Living, we will need records such as H and P, med list, and recent progress notes
- For referrals via fax that have some urgency to the referral, please also call the above number to alert us of the pending fax
ADDITIONAL INFO NEEDED
- Diagnosis
- Name of PCP
- Reason for referral: informational visit, evaluation, or admission
- Family member/resident contact to set up a visit
- If not on face sheet, please include resident’s Medicare and Social Security number
You can send communication to: referrals@faithhospicecare.org
THE ADVANTAGES OF EARLY REFERRALS
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Our team of physicians, nurses, counselors, spiritual advisors, and volunteers provide services that enhance quality of life. Studies show that early access to these services can have a significant impact on patients and families. Please refer to our resources for links to more information.
RESOURCES