Refer a Patient
Anyone can initiate a referral for home health, palliative care or hospice services. We will call the patient or
family to get more information and ask for consent to proceed. We will then call the doctor to get the information
needed to admit the patient. Once the information is gathered, a free in-home informational appointment will be made for the patient/family.
To refer a patient, submit an online form, or call and speak to our intake coordinator or submit referrals by FAX or Email.
You may refer a patient by calling 715.629.1888 or 800.359.0174.
Submit referrals by FAX number to:
833.434.0364
Submit referrals by Email to:
intake@adoray.org
Hospice
Who is Eligible?
Patients facing a terminal illness, who have stopped aggressive treatment are eligible for hospice care when the determination
is made that life expectancy is six month or less if the disease or illness follows its usual course.
Hospice Referral Form
Our enrollment team responds promptly to referral requests throughout each day.
However, if there is an urgent need and outside the hours of 8:00am – 4:30pm,
please also call Adoray Enrollment at 800.359.0174.
Palliative Care
Who is Appropriate to Receive Palliative Care?
Adoray’s Palliative Care Program is appropriate for anyone with a life-limiting prognosis
or an incurable disease whose treatment goals are moving toward being less aggressive and more comfort focused.
The patient typically:
- has a deteriorating medical condition
- has pain or other symptoms that are not well-managed
- finds it is a considerable and taxing effort to leave home
- has a caregiver available to provide care if and when necessary
- believes hospice care may be appropriate at some point but does not want hospice care yet
- may want to discuss treatment goals, plans or decisions
Palliative Referral Form
Our enrollment team responds promptly to referral requests throughout
each day. However, if there is an urgent need and outside the hours
of 8:00am – 4:30pm, please also call Adoray Enrollment at 800.359.0174.
Home Health
Who is Appropriate to Receive Home Care?
Home Health is appropriate for persons who prefer to stay in
their home but are in need of ongoing skilled care that cannot be
adequately provided by themselves, their family or friends.
Home Health Patient Referral Form
Our enrollment team responds promptly to referral requests throughout
each day. However, if there is an urgent need and outside the hours
of 8:00am – 4:30pm, please also call Adoray Enrollment at 800.359.0174.
Rehab Therapy
Who is Appropriate to Receive Rehab Therapy?
Promoting independence and participation to help you or your
loved one recover after injury or illness.
Adoray’s Rehabilitation Therapy Services provide customized
rehab programs designed with aggressive but achievable goals
to get our patients back to living the life they love as soon
as possible.
Therapy at Home
If you or your loved one is unable to leave home, Adoray’s rehab
team brings client-centered therapy services to wherever they
call home. Adoray meets clients wherever they are on the road
to recovery.
Rehab Patient Referral Form
Our enrollment team responds promptly to referral requests throughout
each day. However, if there is an urgent need and outside the hours
of 8:00am – 4:30pm, please also call Adoray Enrollment at 800.359.0174.
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