Hands of Mercy Hospice

Refer Your Loved One - We accept patient referrals from family, friends, nurses, physicians, and other healthcare providers.
Complete this quick form -- We will contact you promptly and answer any questions you may have!

Name of Person Being Referred:

Reffered by:

Relationship to Patient:

Physician's Name (if referred by physician):

Physician Phone Number:

Who Should we contact? Contact Name:

Contact Phone Number

Contact Email:

Hands of Mercy Hospice does not discriminate against any person on the basis of race, color, national origin, disability, or age in admission of treatment, or participation in its programs, services, and activities, or in employment. For further information about this policy contact the Section 504 Coordinator, Tracy Keylon, RN at 864-482-7110.

KEOWEE PRIMARY CARE & INTERNAL MEDICINE
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