Hospice Referral Request

Please fax us any of the following to 805-540-6025

  • DNR or POLST if available
  • Patient Face Sheet and Insurance Information
  • History and Physical
  • Recent Progress Notes
  • Lab and Radiology Results

Hospice Referral Request PDF

About us

about us

Central Coast Hospice provides 24/7 medical, social, and spiritual care. Our business is Medicare certified.

Contact info

  •   253 Granada Dr., Suite D
    San Luis Obispo, CA 93401

  •   (805) 540-6020

  •   hospice@cchh08.com

joint commission logo

Joint Commission for the Accreditation of Health Care Organizations (JCAHO) certified.