To refer by fax, please download our Fax Referral Form and send to (831)430-9271.
Telephone Referrals for Hospice
To refer by phone, please contact the Hospice of Santa Cruz County Admissions Department at (831)430-3000.
Please provide the following information:
- Patient's name
- Patient’s phone number
- Primary contact’s name and phone number
- Doctor's name
- Diagnosis: current and other significant medical data
- Estimated prognosis of six months or less
To discuss eligibility, please call our Admissions Department at (831)430- 3000.
Hospital Discharge Orders
Request Hospice of Santa Cruz County (Hospice SCC) when ordering hospice.