Thank you for your referral to VITAS Healthcare. Complete the form below to submit your secure referral.
If you would like to speak to us in person, call to make a referral over the phone.
Download the VITAS App for an instant and secure submission of your patient’s face-sheet.
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Enter the patient’s name, then provide your name and contact information.
We will contact you with an update in approximately 30 minutes. We will contact the patient or caregiver to schedule a visit.
Our team of professionals will determine if the patient is eligible for our hospice services.
If you are a clinician who prefers to speak to us in person, call 844.535.9252 to make a referral over the phone.
VITAS has streamlined the hospice referral process with a mobile application for iPhone, iPad, and Android users.
Our admissions professionals will contact the patient or caregiver to schedule a visit and dispatch a VITAS team member to the bedside. We will contact you with an update in approximately 30 minutes.
If you have immediate concerns, please contact us at 844-535-9592 and reference your confirmation number below.
Please try again, or you can call us at 844.535.9252.
Our hospice care experts are available 24/7 to help answer questions, provide support, and make sure all of your needs are met.
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