
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:
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Be diagnosed with a terminal illness and reduced life expectancy if the illness runs it normal course.
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Desire comfort measures, rather than curative treatment.
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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: