Patient Referral

Healthcare providers can use the Fast Fax Referral Form to send patient information to their local Agapé Hospice office. Please include Face Sheet, copy of insurance card if available, current H/P labs (within 6 months) and most recent Physician Notes with submission.

Fast Fax Referral Form

I want to thank Agapé Hospice for doing an amazing job working with Millennium and the family to make sure that all our basis were covered while ensuring this woman got the services she deserved. She went GIP yesterday afternoon then passed early around 1 am.

I just wanted to say thank you to an amazing hospice team! Especially nurse Annie… she rocks!

Thanks so much guys!

Millennium Family, Post-Acute Rehabilitation