Referral Form

Hospice Malta offers Palliative Care to the patient and support to the family and works together with existing Health & Social Services.

Referral Form

Need Help?

If may need any help or assistance with the Referral Form do not hesitate to contact us:
Tel: (+356) 21 440 085 | Email:


Procedure to refer a patient to Hospice

  1. A Hospice referral form can be found on the Hospice website. You can also call Hospice Malta on 21440085 for the referral form to be sent by e mail or post. The form can also be collected from the Hospice Malta premises.
  2. The form has to be filled in and signed by a medical doctor and sent back to Hospice.  The quickest route would be to scan and send the referral via e mail to
  3. A Hospice representative will contact you within 24 working hours.
  4. An explanation will be given re Hospice service.  Advice will also be given when necessary during the first telephone call.
  5. The Hospice nurse will then follow up with a home visit usually within 5 working days following the first call.