Online Referrals

Referrals can be made by anyone, provided the client consents to the referral.

All information collected in the following forms is completely confidential and will be delivered securely to our team at Hospice Northwest.


We want to ensure that no referrals or correspondence gets missed. If you have submitted a referral or correspondence to us and have not heard back within 7 days, please call our office at 807 626 5570 to follow-up.

Palliative Care

Support for yourself or someone with a life limiting illness who needs support

All Grief Support

For yourself or someone who would like to access one of our grief support programs.

Caregiver Support

Support for yourself or someone who is a caregiver and is looking for support.