PATIENT REFERRAL FORM – CONFIDENTIAL

Tel: Admin (021) 886 5994
E-mail: info@stellhospice.co.za
Website: www.stellenboschhospice.org.za
PO Box 3161, Matieland 7602

Level of Intervention:

Patient Karnovsky Scale:

Patient Care: Revised on 1 June 2018

Get in Touch

Hospice Central:

Call: 021 886 5994

Email: info@stellhospice.co.za

Our Hospice Charity Shop:

Call: 021 887 9349

Email shop@stellhospice.co.za

Reach Out