ADMISSION FORMS
To better serve you please select from the list below, the application that better fits the future patient needs. The form is available to fill-out with Adobe®Acrobat, if you choose to do so, please email the form to the Admissions Coordinator Shelia Menefee at Shelia.Menefee@yahoo.com or you may print the form and fill in the blanks and fax it to (562) 435-9365.
Thank you!
Click here to download Free Adobe Acrobat Reader®
WELLS HOUSE HOSPICE BROCHURE
To learn more about Wells House Hospice please download our brochure below.
Wells House Hospice | 245 Cherry Avenue, Long Beach, CA 90802
Toll Free: (888) 280-9443
For ADMISSIONS Please Call Toll Free: (888) 280-9443
