Submit referral
Send demographics, location, referrer details, and available clinical notes.

Send a secure hospice or palliative care referral to Treasure Coast Hospice. Our admissions team reviews referrals promptly and follows up with the patient, family, or referring office.
Secure transmission
HTTPS
Referral details are sent server-side to SmartMD over HTTPS.
Prompt follow-up
Local intake
A local intake clinician reviews the referral and contacts the right person.
Local routing
3 counties
Martin, St. Lucie, and Okeechobee referrals route to the Treasure Coast team.
What happens next
This form starts the intake conversation. Treasure Coast Hospice confirms clinical details, patient and family needs, physician authorization when needed, and the best timing for an assessment.
Send demographics, location, referrer details, and available clinical notes.
Admissions reviews the referral and follows up with the family or care team.
The team coordinates the appropriate bedside or home assessment.
Secure referral
Clinicians can include diagnosis, insurance, NPI, and document references. Families can use the simpler path to request help starting the care conversation.
For urgent help, call 772-403-4500. If the secure form is delayed, fax a face sheet to 1-888-466-7578.