(951) 360-5848

info@inlandvalleyhospice.com

Referral

“At Inland Valley Hospice we make the referral process simple and quick.”

Inland Valley Hospice

To refer a patient to Inland Valley Hospice, please choose one of the following 3 options:

1. Call

Call our office at (951) 360-0811

2. Fax

Fax all pertinent patient information to our office at (951) 360-0811

Please include:


  • Patients facesheet

  • Physicians order for hospice eval

  • Current history and physical

  • Patients current medications

  • Patients current labs

3. Online

Fill out our online form and an Inland Valley Hospice representative will call you back.

REFERRAL FORM

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