Send Your Referrals
We make the hospice referral process simple and supportive for patients, families, and healthcare professionals. Referrals may be submitted by physicians, hospitals, case managers, social workers, skilled nursing and assisted living facilities, home health agencies — as well as patients, family members, and caregivers.
Submit a Referral
To submit a referral, please provide the following information:
- Patient's full name and date of birth
- Primary diagnosis
- Patient's current location
- Patient or family contact information
- Referring provider or facility information
- Insurance information, if available
- Relevant medical records, if available
Once we receive the referral, our hospice team will review the information, coordinate with the patient, family, and healthcare providers, and assist with determining hospice eligibility and next steps.
Have questions or need assistance? Use the form below, call us at (818) 824-3277, or email californiacarehospice@gmail.com — we are available to help guide you through the referral process.
