Refer a Patient

Healthcare professionals can use the secure form below to refer a patient to Harbor Hospice. Once your form is submitted, someone from Harbor Hospice will follow up with you. For urgent referrals or to send supporting records, please call us at 800.497.9559, send a fax to 231.722.0708, or email us at referralliaison@harborhospicemi.org. 

If you are a patient, family member, or friend and would like to make a referral, please use the Community Referral Form.