Referrals for Palliative Care
Are you, or someone you know, living with serious chronic illness and in need of help? Please use the below form to make a referral to Pathways and we will contact you within one business day or sooner, if possible. If you have an urgent need, please contact Pathways immediately by calling (716) 304-1214.
An * indicates required field entry.
For questions or if you are experiencing any problems with this electronic form, please contact the Pathways Intake Department at (716) 304-1214 or Info@PathwaysPCP.org.