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Hope Hospice and Health Services > Services > Hospice Care > Hospice Patient / Family Referral

Count on Hope for hospice services

When you’re in need of compassionate comfort care that helps you make the most of each day — we’ll be there for you. Our admissions team is available to assist you in getting the care you need, even on nights, weekends and holidays.

Hope offers hospice services to eligible patients. To ensure your comfort and well-being, our skilled caregivers focus on the whole you, not just your illness, to help you live each day to the fullest.

Initiating a referral is easy

Individuals who have a physician’s order can refer themselves or be referred by a:

  • Physician
  • Family member
  • Social worker or case manager
  • Healthcare agency or hospital
  • Nursing home or other care facility

They simply need to fill out the hospice Referral Form and submit it online, by mail or by fax.

Hope keeps the process simple and stress-free

Once we’ve received the referral form, our admissions counselors work quickly to get you the care you need. They will contact you or your family member to gather information and set up an initial assessment. They also contact the patient’s physician, who will need to provide the patient’s:

  • Diagnosis
  • History and physical records
  • Physician order

Hope admissions counselors will then reach out to discharge planners, social workers or other referral sources to gather the information they need to promptly initiate care.

Eligibility requirements for hospice care

All of the services provided by Hope require a doctor’s referral. For Medicare reimbursement, end-of-life care (hospice) requires adults to have a prognosis of six months or less to live.

If you or your loved one are in need of Hope’s hospice services and support, you can fill out a Family Patient Referral form or contact our admissions team at (925) 829-8770.

CALL US FAMILY PATIENT REFERRAL

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Dublin, CA 94568-3024

Phone: (925) 829-8770

Main FAX: (925) 829-0868

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    • Our Mission
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    • Press Room
  • SERVICES
    • COVID-19 Information
    • Hospice Care
      • Hospice Care FAQs
      • Hospice Patient / Family Referral
    • Grief Support
    • Dementia Support
    • Family Caregiver Support
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  • GRIEF SUPPORT
    • For Adults
    • For Children and Teens
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