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For referral professionals
Request access to an approved secure referral method.
Send your business contact information below. Our team will contact you with the appropriate way to transmit patient records securely.
Protect patient information
This request does not accept patient information.
Do not enter a patient name, date of birth, diagnosis, insurance information, clinical record, or any other protected health information. The request only identifies the professional who needs secure referral instructions.
Need to refer immediately?
Referral line: (310) 527-2962
Secure fax: (310) 527-2999
An on-call hospice nurse is available 24/7.