Get Started

Make a Referral

Anyone can make a referral to Richmond County Hospice: patients, family members, friends, social workers, physicians, or anyone who cares. We’re here to walk you through the next step.

Call Intake910-997-4464
Fax referrals910-997-4450
Or use the formWe’ll call you back

Send us a referral

Share a few basics and our Intake Department will follow up with you directly. The whole thing takes about a minute.

A note on privacy: please don’t share specific medical details on this form. Once we receive your information we’ll call you to discuss in private.

Your information

About the patient

Required fields are marked with *.

What happens next

Three simple steps, at your pace, in your time.

1

Reach out

Submit this short form, or call us directly during business hours.

2

We listen

Our Intake team will call you back to talk through your situation, privately and at your pace.

3

A plan together

If hospice care is the right fit, we walk you and your loved one through every next step.

Not sure where to start?

We’re happy to answer questions about hospice eligibility, the referral process, or anything else you’re weighing. There’s no pressure, just a friendly conversation.

Call 910-997-4464