Residential Referral for Healthcare Providers

Home » Admissions & Services » Residential Referral: Healthcare Providers

As a dedicated provider of palliative care, Hospice Peterborough offers compassionate support and comfort to individuals and their families during the last two weeks of life in our 10-bed Residence.

In an effort to streamline the referral process you’ll find detailed instructions on how to refer patients to Hospice Peterborough’s Residence, facilitating a smooth transition to our expert team and comprehensive services.

Please note care in the Residence is offered at no cost to the recipient or their loved ones.

Make a Residence Referral

Healthcare providers are encouraged to download our referral forms and submit by fax 705-742-0064 or phone 705-742-4042.

General Admission Criteria:

  • Require end-of-life care in the last weeks of life; prognosis days to weeks
  • Palliative Performance Scale of 30% or less or rapid decline in performance scale
  • Established plan of care with no further investigations planned
  • Expected length of stay 2 weeks or less
  • Client or substitute decision maker consents to admission and has knowledge of the residence guidelines
  • Completed Do Not Resuscitate order

For complex or cases outside the above criteria, please contact the Manager of Residence at 705-742-4042.

All programming aside from the Residence is by self-referral but requires registration. Please visit our Programs page or reach out at
705-742-4042 or intake@hospicepeterborough.org for more information.