Referrals

Call Montgomery Hospice and Prince George’s Hospice to enroll in hospice.

Anyone can refer a patient for hospice care, including a doctor, family member or the person who is ill.
It’s best to contact us early in a serious illness, even if you’re not sure if hospice is your preferred option now. Often, we can explain choices that people don’t understand or haven’t heard of. We will explain in detail the services that hospice provides for both patients and their loved ones. 

How does a family know when their loved one is nearing death and could benefit from hospice services?
Montgomery Hospice and Prince George’s Hospice doctors and nurses are familiar with symptoms that indicate that a person may qualify for hospice benefits. The symptoms are different depending on the disease, but often include things such as significant weight loss, a decrease in ability to participate in normal daily activities or multiple trips to the hospital in a short period of time.

For Healthcare Professionals
Feel free to call Montgomery Hospice and Prince George’s Hospice to discuss a particular patient and what services might be available for that person, now or in the future. Gathering information for the future can ease stress and help with decision-making.

Call Montgomery Hospice and Prince George’s Hospice (301-921-4400) any time, any day.

Please call us if you have questions about hospice services, or want to discuss your specific situation with one of our staff.

Note, we have a direct line to the “admissions department” that is answered every day from 8:30 am to 4:30 pm.
That number is 301-637-1888.

If you have any comments or questions for Montgomery Hospice and Prince George’s Hospice, visit our contact page

If your request is urgent or you need information within the next 12 hours, call us at 301-921-4400. (This phone number is answered 24 hours a day, 7 days a week.)

Referral Form

Patient Information

Physician Information

Insurance Information

Montgomery Hospice and Prince George's Hospice accepts Medicare, VA MD and DC Medicaid, Tricare, and most commercial insurances.

Secondary Insurance

All information you provide is kept confidential in accordance with federal law and Montgomery Hospice and Prince George’s Hospice’s privacy policy.

Items with a red star are required.