Grief Support Group - English
May 6, 2008
1:30 pm
Hospice Hop Fundraiser
June 13, 2008
6:30 pm
Please click here to register for the 13th Annual Palliative Care Symposium.
Hospice El Paso, Inc.
2525 E. Missouri
El Paso, TX 79903
Phone: 915-532-5699
Fax: 915-532-7822
Family Referral Form
Making a Referral
Click here to fill out the Family Referral Form.
Anyone may refer a patient to Hospice El Paso. The patient may refer him/herself, as well as a friend, caregiver, relative, social worker, nurse, hospital, nursing home, Home Health Care Agency, or the patient's private physician. Hospice El Paso staff is available to visit with the patient and family prior to admission into the Hospice El Paso program for assessment and explanation of the services to be provided.
At this time the Referral/Admission Staff will contact the patient's private physician to obtain consent to evaluate and admit the patient into a Hospice El Paso Program of Care.
Admission
The patient's personal physician must state that the patient has a terminal (life limiting) illness and a prognosis of six months or less. Care must be palliative and not curative in nature.
The patient's personal physician will continue to care for the patient while under the services of Hospice El Paso.
While a caregiver is not an admission prerequisite, the patient must agree to have someone that will care for them 24 hours a day as the disease progresses and they can no longer care for themselves.
Patient must meet admission criteria established by the Center for Medicare and Medicaid Services (CMS).
Notice of Hospice El Paso's Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please click here and review it carefully.
To Make a Referral
Please call us at 915-532-5699 and ask for the Admissions Desk, or click here to fill out our online form.
Please have the following patient information available:
- Patient's name
- Patient's phone number
- Patient's physician's name
- Name and phone number of the person making the referral
The following information is helpful, but not absolutely necessary:
- Patient's address
- Patient's date of birth
- Patient's Social Security number
- Insurance information and/or Medicare or Medicaid
- Patient's diagnosis
- If possible, the name of the person that will be the caregiver