Referral Form | MaineHealth Home Health & Hospice

Connecting patients with compassionate home care

MaineHealth Home Health & Hospice provides high-quality, home-based care for patients of all ages. We offer home health services in York, Cumberland, Southern Oxford, Sagadahoc, Knox, Lincoln and Waldo counties, and hospice care in Knox, Lincoln and Waldo counties. Our services include nursing, physical therapy, occupational therapy, speech therapy, social work and more. MaineHealth Home Health & Hospice is part of the MaineHealth integrated health system.

Complete this form to request home health or hospice services for your patient or family member.

For assistance, please call 800-660-4867, option 3.