Make a Referral to Empowered Endings

Our Medical Group is always ready to serve clients in and around San Diego, Palm Springs, and Los Angeles. With decades of experience, we are raising the bar in Palliative and End of Life Care with a focus on family support. Please take a moment to complete the referral forms so we have the information we’ll need to follow up appropriately. 

In accordance with HIPAA regulations, our referral form has two steps: the first regards information about the referral source; the second is a HIPAA-protected form to facilitate our connection with and understanding of the patient/client’s needs. 

If you have any difficulty, or wish to provide more specifics about the referral, please complete the HIPAA-compliant form and feel free to call us at 858-925-7554 or send a secure email to info@eemedicalgroup.com.

Thank you for trusting our team to become part of your village of support! 

Step 1: Referring Party Information

Please complete Step 1 by filling out the information request below and continue to Step 2 to provide information regarding the patient/client.