Make a Referral

A referral to any of our programs can be made by anyone, including family members, friends, or healthcare professionals. To make a referral or to request more information, please call (509) 837-1676 or complete the form below. A member of our team will contact you as soon as possible.

Heartlinks complies with HIPAA and protects your health information. View our privacy practices here.

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Your Information

First Name*

Last Name*

Phone*

Email*

I want more information about or wish to make a referral for:

Hospice care

Palliative care for adults

Palliative care for children

What is your relationship to the person needing care?

I am seeking care for myself.

I am seeking care for a loved one.

I wish to refer my patient to Heartlinks.

Person Needing Care

First Name*

Last Name*

In what city/town does the person needing care currently live?

By submitting this form, I confirm that I have obtained appropriate verbal or written consent from the patient or legal representative to share this information.*

Yes, I have obtained appropriate verbal or written consent from the patient or legal representative to share this information.

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(509) 837-1676

Make a Referral

Your Information

Person Needing Care

How Can We Help?

I want to learn more
about Heartlinks Services.

I want to support Heartlinks
and/or get involved.

Because Life is for Living.

(509) 837-1676

Useful Links

Service Area

Subscribe to Our Newsletter

(509) 837-1676

Make a Referral

Your Information

Person Needing Care

How Can We Help?

I want to learn moreabout Heartlinks Services.

I want to support Heartlinksand/or get involved.

Because Life is for Living.

(509) 837-1676

Useful Links

Service Area

Subscribe to Our Newsletter

I want to learn more
about Heartlinks Services.

I want to support Heartlinks
and/or get involved.