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.

You may refer a patient by calling 715.629.1888 or 800.359.0174.

Submit referrals by FAX number to:

Home Health FAX: 866.497.2984
Hospice FAX: 855.493.8914

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.



Are you the primary caregiver or a Clinic/Long-Term Care Community?





Submit


* We may request copies of clinical information or advanced directives be faxed to (855) 439.8914. We will contact you via your preferred method if additional information is required.

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:

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.



Are you the primary caregiver or a Clinic/Long-Term Care Community?





Submit


* We may request copies of clinical information or advanced directives be faxed to (855) 439.8914. We will contact you via your preferred method if additional information is required.

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.


Submit

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.


Submit
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