Make a Referral 

Our team of caring and compassionate professionals are here to assist you at any time. We believe in providing the highest quality care to patients and their families.

 

When you submit a referral to Brightmoor Hospice, you will receive a response from one our representatives as quickly as possible. From there we will work with you to determine the best level of care based on individual needs.  We also provide same day admissions.


Please contact us in one of three ways:

  • Download our Referral Form and fax to 678-972-1699
  • Fill out our online Referral Form
  • Contact our Community Representative in your area
Download our Referral Form Online Referral Form
  • When is it time to make a referral?
    • Have a life-limiting illness such as: Alzheimer's, Cancer, Cardiac/Circulatory Diseases, Respiratory Diseases, End Stage Liver or Kidney Disease, ALS or Lou Gehrig's Disease and, Other Degenerative or Neurological Diseases
    • Frequent trips to the Emergency Room or extended hospital stays
    • Be receptive to hospice care, which means that aggressive treatment is no longer pursued
  • Who can make a referral?

    Patient

    Physician

    Family member

    Friend

    Neighbor

    Anyone can submit a Referral Form

  • How to make a referral
    • Complete the form online
    • Print PDF and fax
    • Contact the Community Representative in your area

CContact Our Community Representative in Your Area

Kim Allen (770) 468-7296

Spalding

Chelsea Powell (706) 601- 3251

Lamar, Meriwether, Pike, Talbot, Upson, Butts

Beth Campbell (404) 456 -7674

Coweta

Nick Hubbard (478) 297-1740

Baldwin, Bibb, Crawford, Jones, Monroe, Houston, Peach

Missy McDonald (678) 858-8891

Fayette

Doreen James (678) 572-5807

Gwinnett, Newton, Rockdale

Daphne Williams (678) 972-9258

Henry

Casey Miller (770) 344-7500

Clayton, South Fulton