Patient Referrals
Thank you for your interest in Liberty Hospice. If you would like more information, please fill out this form.
If you prefer to speak to us in person, call 214.385.4398 to refer a hospice-eligible patient. You can also fax the patient's face-to-face sheet / referral form to 214.384.4368.
Who qualifies for Hospice Services?
Different diseases and conditions each have their own guidelines for hospice admission. The most common of these diseases or conditions include ALS, cancer, dementia, heart disease, HIV, kidney disease, liver disease, lung disease, Parkinson’s disease, stroke and coma. Sometimes a patient does not “fit” into the guidelines but still has a life expectancy of six months or less and therefore may be eligible for hospice.
We can assist you in determining eligibility. If you or a loved one is interested in Hospice Services, complete the form, and we will be in touch with you soon.