To refer by email, please

• Complete the Secure Cornerstone Hospice Referral Form*
• Submit it via email, and then
• Fax the signed original to 352-343-1184

• Please follow up to confirm receipt at 352-742-6809 or 866-742-6655 or email: admissions@cornerstonehospice.org.

*If you are requesting a Transitions referral, please indicate so on the form.