Skirball Hospice

A Program of the Los Angeles Jewish Home Providing Hospice and Palliative Care

Call 877.774.3040

Refer/Admit a Patient

Referring a patient for Skirball Hospice services is easy.

If you are a healthcare provider and wish to refer your patient for services from Skirball Hospice, simply fill out our clinical referral form below.

If you require additional admission information, please contact us at 877.774.3040 or by e-mail at SkirballHospice@jha.org and you will be contacted shortly.

Admissions Criteria

There are three main eligibility criteria that need to be met in order to receive Skirball Hospice services: the patient must be terminally ill with a medical prognosis of six months, the patient is no longer seeking curative treatment, and the patient and family are aware of the terminal illness and understand and accept the hospice philosophy of care.

Items that are required are marked with an asterisk (*).

Patient Referral Form
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The Los Angeles Jewish Home