Did You Know? You Can Make a Hospice Referral

You don’t need to wait for a doctor. Families, caregivers, and loved ones can refer someone to hospice care directly. At Hospice of the Piedmont, we make the process simple and supportive.

Our compassionate team will:

Evaluate your loved one’s needs at no cost
Coordinate with their physician on their behalf
Handle all insurance and Medicare paperwork
Begin care within 24-48 hours of referral

Starting the conversation is the hardest part — we’re here to help with everything else.

Call 336-889-8446 Make a Referral

Why Choose Hospice of the Piedmont?

Comfort-Focused Care

Our interdisciplinary team focuses on managing pain and symptoms so your loved one can live as comfortably as possible.

Expert Medical Team

Board-certified hospice physicians, registered nurses, and certified nursing assistants provide specialized end-of-life medical care.

Emotional & Spiritual Support

Licensed counselors and chaplains support patients and families through the emotional and spiritual dimensions of this journey.

Care Where You Are

We bring care to your loved one — whether at home, in assisted living, a nursing facility, or at our Hospice Home in High Point.

24/7 Support

Our clinical team is available around the clock, 365 days a year. Help is always just a phone call away.

Family Guidance

We provide education, resources, and grief counseling to help your family navigate every stage — before, during, and after.

40+ Years Serving the Piedmont

1,200 Patients & Families Served Annually

24/7 Around-the-Clock Care & Support

We Are Here to Help

Fill out the form below and a member of our care team will reach out within one business day.

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Referral Type
- Patient or Family Referral
- Healthcare Provider Referral
Patient Information
Patient Name*
First Last
Patient Date of Birth
MM slash DD slash YYYY
Last 4 of SSN
Primary Diagnosis
Primary Contact Name*
First Last
Relationship to Patient*
Phone*
Email
Provider Information
Name
First Last Suffix
Choose one:
- I will serve as the Hospice Attending Provider and manage all care.
- I will serve as the Hospice Attending Provider but prefer the Hospice medical staff manage my patient’s terminal diagnosis including symptom management, prescriptions, and in-home visits, if needed.
- I will not serve as the Hospice Attending Provider and request that Hospice medical staff fulfill the role of Attending Provider and management of my patient’s terminal diagnosis including symptom management, prescriptions, and in-home visits, if needed.
Documentation Upload
If your provider records are available through Epic, no further patient documentation is needed. Otherwise, please upload any potentially helpful patient information below, including Demographics/ Face Sheet and Provider’s Notes (last 3 visits)
Max. file size: 50 MB.
Max. file size: 50 MB.
Max. file size: 50 MB.
Contact Name
First Last
Phone
If unsure about a patient’s hospice eligibility, please call our Admissions & Referrals team at 336-889-8446 to learn more about Care Connection, our home-based palliative care program.

Your information is private and will only be used to connect you with our care team. We will never share your details with third parties.

Understanding Hospice Costs

Hospice care is fully covered for most patients.

Medicare, Medicaid, and most private insurance plans cover 100% of hospice services — including medications related to the hospice diagnosis, medical equipment, and supplies delivered to your home.

There are no copays, no deductibles, and no surprise bills for covered hospice services. Our team will help you understand your specific coverage before care begins.

For patients without insurance, Hospice of the Piedmont provides care regardless of ability to pay through our community support fund.

Hear From Our Team

Watch this short video to learn how families like yours can take the first step toward compassionate hospice care.

What Families Are Saying

“The team at Hospice of the Piedmont treated my mother with such dignity and compassion. They didn't just care for her — they cared for our whole family. I only wish we had called sooner.”

— Sarah M., Family Member

“I was afraid that calling hospice meant giving up hope. Instead, it gave my father the most peaceful, comfortable weeks of his life — and gave us time to truly be with him.”

— James T., Son & Caregiver

“The nurses and chaplain became like family. They answered every question, eased every fear, and helped us all find peace during the hardest time of our lives.”

— Maria L., Daughter

“We didn't know families could refer directly. Once we called, everything moved so quickly and smoothly. The care team took all the stress off our shoulders.”

— David K., Spouse

Ready to Take the Next Step?

Whether you have questions or are ready to make a referral, our team is here for you.

Make a Referral Now Call 336-889-8446

Did You Know? You Can Make a Hospice Referral

Why Choose Hospice of the Piedmont?

Comfort-Focused Care

Expert Medical Team

Emotional & Spiritual Support

Care Where You Are

24/7 Support

Family Guidance

Not Sure If It's Time for Hospice?

Think you need hospice care?

We are here to help.

You may not be ready
for hospice care.

We Are Here to Help

Patient Information

Provider Information

Documentation Upload

Understanding Hospice Costs

Hear From Our Team

What Families Are Saying

Ready to Take the Next Step?

Did You Know? You Can Make a Hospice Referral

Why Choose Hospice of the Piedmont?

Comfort-Focused Care

Expert Medical Team

Emotional & Spiritual Support

Care Where You Are

24/7 Support

Family Guidance

Not Sure If It's Time for Hospice?

Think you need hospice care?

We are here to help.

You may not be ready for hospice care.

We Are Here to Help

Patient Information

Provider Information

Documentation Upload

Understanding Hospice Costs

Hear From Our Team

What Families Are Saying

Ready to Take the Next Step?

You may not be ready
for hospice care.