Arrange for Care – Merrimack Valley Hospice
Physician/professional secure on-line referral form.
Patient/family secure on-line referral form.
You can also download an Express Referral Form to fax to our Referral Department at 978-552-4401
To arrange for care by phone, please contact our Referral Department at 978-552-4444 or 800-333-4799. To ensure that each patient receives prompt attention, we provide:
- Referral services 24 hours a day, 7 days a week
- 24-hour telephone support
Although every patient is different, early referrals to hospice are most beneficial to the patient and family. Early referrals to Merrimack Valley Hospice care can allow the patient and family to focus on the time they have together.
Payment for Hospice Care
Hospice care, including all medical equipment, supplies and medications related to the hospice diagnosis is typically covered by private health insurance including Medicare and Medicaid.