If you would like to be referred to our Day Care Hospice or you are the carer or a family member of someone who you would like to refer on their behalf, then please either download our services_ leaflet.pdf or give us a call (01536) 747755 Mon-Fri 9-5pm. We look forward to hearing from you.

If you are looking to be referred to us for the Living with Heart Failure programme, for our Hospice at Home service or our Bereavement Support service then please speak with your GP or District Nurse as you can only be referred to us for these services via a medical professional.

Medical Professionals

If you are a medical professional and you wish to refer a patient to Lakelands Hospice then please either call us on (01536) 747755 Mon-Fri 9-5pm, send a fax on (01536) 747788 or download the appropriate referral form below.

General Referral (download form)

Heart Failure / COPD Referral Form  (download form)

Hospice at Home (download form)

Bereavement Support (download form)

Gold Standards Framework Coding (download diagram)