Refer a Patient

 

Refer a Patient to Kansas City Hospice & Palliative Care.

Information for Physician’s Offices and Discharge Planners

To help ensure patient confidentiality, we request that confidential patient information be kept from emails.

We are able to take your referral from most proprietary systems.

Referrals may be made by phone or fax.

Referral Fax Form

CALL (816) 276-2700    FAX (816) 444-1928

To refer a patient, the following information is required and may be faxed:

  • The service your patient needs:

Palliative Home Care – for patients not ready for hospice, with skilled nursing needs. Patient must be homebound.
Hospice at Home, Assisted Living or Long-Term Care Facility.
Kansas City Hospice House™ – inpatient care to control pain or stabilize symptoms.
NorthCare Hospice House – inpatient care to control pain or stabilize symptoms.
Request a consultation to discuss options

  • Your name and contact information
  • Patient name and contact information
  • Diagnosis code(s)
  • Attending physician Cardiologist (if a cardiac patient)
  • History & Physical, Discharge Summary and Discharge Orders
  • Facesheet or document with DOB, SSN, address, insurance and primary contact
  • Current medication list Medicare Part D information or copy of card, if available
  • Physician signature, date and time

Our Programs

There's a long list of hospices in Kansas City, but there's only one Kansas City Hospice. Our programs provide comprehensive expert care for all ages at all stages of serious illness.

Hospice

When the focus shifts to comfort instead of treatment, care comes to your home or nursing facility with a plan tailored to your needs, including emotional and spiritual support for the whole family.

Read More

Hospice

Palliative Home Health

When complex needs benefit from a team approach, supportive home care brings the care you need, with 24/7 nurse support for pain, stress and symptoms due to serious illness.

Read More

Palliative Home Health

Advanced Illness Support

Beginning as early as diagnosis and at any stage of serious illness, our nurse practitioners make home visits as needed to help coordinate your care and provide expert pain and symptom management.

Read More

Advanced Illness Support
Hospice House

Hospice House

When symptoms cannot be easily managed at home, two hospice houses provide 24/7 expert care in comfortable home-line settings where family members can be relieved of caregiving duties to focus on loved ones.

Read More

Carousel

Carousel provides palliative and hospice care for perinatal and for babies through young adults with a dedicated team of pediatric nurses, social workers, chaplains and other specialists.

Read More

Carousel
Solace House

Solace House

Our center for grief and healing supports individuals and families who have been impacted by the death of a loved one, whether anticipated, or sudden and unexpected. We provide opportunities to share, listen, learn and heal with peer group support from age 3 through adult.

Read More

Site Created & Maintained by KC Web Specialists, LLC