Referrals to Ave Maria

The next step starts
with a conversation.

Refer someone you care about, connect a patient with our team, or ask about care for yourself. We’re here to help you begin.

Referral request

Tell us how
to connect.

Please share contact details only. Leave out diagnoses, medical records, Social Security numbers, and other sensitive clinical information. Our team will explain how to share any needed records.

Fields marked * are required.

01Your details

Your first name *

Your last name *

Your phone number *

Your email address *

Your relationship to the person *

Organization or practice (optional)

02Person you’re referring

First name *

Last name *

Their phone number (optional)

City or community *

Patient’s county *

We serve nine counties in the Texas Hill Country and surrounding region. Unsure of the county? Call (830) 997-1709.

03Anything else we should know?

A note for our team (optional)

You can share a preferred time to call or a general question. Please do not include medical details.

Sending this form does not enroll anyone in hospice. Read our privacy policy.

The next step startswith a conversation.

Tell us howto connect.

The next step starts
with a conversation.

Tell us how
to connect.