Referral by Email

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:

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