REFERRAL FORM

Anyone can contact us about someone who may benefit from our hospice services. If you would like to make a referral, please keep in mind that in order for a patient to be eligible, these criteria must be met:

Be diagnosed with a terminal illness and reduced life expectancy if the illness runs it normal course.
Desire comfort measures, rather than curative treatment.
Be located in one of our service areas

If you feel Shoals Hospice can serve your loved one, please call or fill out the referral form below:

REFERRAL FORM

(256) 767-1322

to discuss Hospice options or fill out form below and we will be in touch.