Thank you for referring your hospice-eligible patient to VITAS Healthcare. Complete the form below to submit your secure referral.

If you are a clinician who prefers to speak to us in person, call 844.535.9252 to make a referral over the phone. You can also make a referral from the VITAS mobile app, which allows for an instant and secure submission of your patient's face-sheet.

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Referral Successfully Received

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.

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