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

The family of Dianne Bush wants to especially thank Jim Shinta, Kim Hartman and Melanie McAlhaney for their care of Dianne and the support and kindness shown to our family members. Dianne’s husband, Ashley, said “If I had known how much hospice could help I would have requested the service much earlier.”

The Bush family, Charleston SC