Carroll Hospice > Make a Referral

Make a Referral

If you feel a loved one or patient is in the advanced stages of a life-limiting illness and would benefit from hospice services, you can make a referral for care. You don’t have to be a doctor; family members, friends, clergy and other health professionals may make a referral for care at Carroll Hospice.

Carroll Hospice will work with you to complete the necessary paperwork and obtain physician orders to streamline the admission for your patient or family member. In most cases, patients will be admitted to the program within 48 hours after receiving the referral information.

To make a referral, please contact us at 410-871-8000 

Carroll Hospice business hours are Monday - Friday, 8:00 a.m. - 4:30 p.m. If you need immediate assistance after business hours, please call our answering service at 410-871-8000. A representative will return your call as soon as possible.


Complete the form below to submit a referral.

* Indicates required information

* First Name of Person Making Referral:
* Last Name of Person Making Referral:
* Email Address of Person Making Referral:
 * Patient's Name:
 * Name of Patient's Doctor:
 * Phone Number or Address of Patient's Doctor:
* Please provide any additional information that may be helpful

* Authentication:

CAPTCHA