Adult Bereavement Services Referral

Criteria: Highland Hospice Adult Bereavement Services are available to anyone who lives in Highland over the age of 18, who has been bereaved by the death of a family member or friend.

This form can be used for self-referral or by professionals referring a patient or client. A copy of the form will be emailed to the person making the referral.

If you are referring yourself, please provide your email again.