Refer a patient to Beta Hospice

Refer for hospice or palliative care in San Bernardino, Riverside, Los Angeles and Orange counties by phone, fax or online form. A nurse answers 24 hours a day, 7 days a week, and can talk through eligibility before you refer.

A clinician reviewing information with an older patient
Licensed by CDPHLicense 550004949
Medicare certified since 2020CCN A11527
AccreditedAccredited by Accreditation Commission for Health Care (ACHC)

Three ways to refer

Call(909) 347-7000

Answered 24 hours a day, 7 days a week.

Fax(855) 563-3575

Face sheet, recent notes, medication list and an order to evaluate.

OnlineReferral form

No patient details needed. A nurse calls you back for them.

Our response commitment: A response within two hours, 24 hours a day, 7 days a week

Online referral

If this is an emergency, call 911.

Fields marked with a star are required.

Do not enter patient names, dates of birth, diagnoses or insurance numbers in this form. A nurse will call you for clinical details, or you can send documents by secure fax.

What to send

  • Face sheet with demographics and insurance
  • History and physical or recent progress notes
  • Current medication list
  • Order to evaluate and treat, if available
  • POLST or advance directive, if available

Send clinical documents by fax to (855) 563-3575, not through the web form.

What happens next

  1. We call you back. A nurse confirms the details and any urgency.
  2. We contact the patient or family. With their agreement, we arrange an informational visit. Only licensed hospice staff discuss electing hospice.
  3. Evaluation. Our medical director and the attending physician determine eligibility.
  4. Admission and logistics. We supply transport from the hospital to home, together with the equipment, supplies and medicines related to the terminal illness; in-stock items are delivered within two hours. We verify orders and destination, coordinate delivery and transport, confirm the first visit and explain how to reach us.

Resources by role

Patients have the right to choose their hospice provider. Beta Hospice does not offer anything of value in exchange for referrals.

CallRefer a patient

Choose what this site may do in your browser. You can change this at any time from the Cookie settings link in the footer.

Categories