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Making a Hospice Referral
Anyone may make a Hospice referral:
  • Physicians
  • Patients, Family Members, and Friends
  • Clergy
  • Case Managers
  • Other Medical Agencies
Hospice Medical Forms
    Physician Referral Forms
New Patient Forms

FairHoPe Hospice and Palliative Care, Inc.
282 Sells Road
Lancaster, OH 43130
740-654-7077 Home Care (on-Call Services 24/7)
740-475-0699 Pickering House
800-994-7077 Toll-free
740-380-1186 Logan Office

FairHoPe Hospice & Palliative Care Inc. is 501(c)(3) organization, Medicare/Medicaid
certified by the Ohio Department of Health, licensed by the State of Ohio and

accredited by the Joint Commission.
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