





A primary care physician must provide an order to consult and admit a patient to Holy Family Hospice. This can be obtained by the patient, the primary caregiver, or through the social services or nursing staff at a hospital, nursing home or assisted living facility where a patient resides. If a patient is living at home and needs assistance, please contact the admissions coordinator at (440) 888-7722.
Admissions Criteria
Holy Family Hospice accepts patients based on eligibility, regardless of race, color, religion, national origin, age, sex, disability, or source of payment for care. The following criteria must be met prior to admission:
Subsequent Steps Leading to Admission
For Further Assistance, Contact
Tracy Rea
Admissions Intake Coordinator
Holy Family Hospice
(440) 888-7722
REFERRAL FORM
