Patient Referral

Often, admission into our Hospice care begins with a call from a spouse or an adult child inquiring whether our services may be the right solution for their loved one.

A referral to New Madison Hospice can come from anyone – a family member, a friend, a physician or the patient. To be admitted into our Hospice care, patients must have a physician’s order.

All information provided to us will be kept private.

To make a referral into our care, please complete the referral form below. If you require additional information, please contact us at 626-703-4144 or by email at contact@newmadisonhospice.com