Healthcare Professionals

The Myton Hospices believe everyone in Coventry and Warwickshire should live well towards the end of their life and have the right to a good natural death, the way they want it to be and with their loved ones supported.

Please note only healthcare professionals can make referrals, with the exception of Rugby Myton Day Hospice only.

If you would like to self-refer, or refer a loved one, to Rugby Myton Day Hospice only please contact us on 01788 550 085.

For all other referrals please speak to your local GP or Macmillan nurse to assist with a referral or call us on 01926 838 889 for more information.

The links below are for downloadable forms which healthcare professionals can use to refer patients to The Myton Hospices.



The general referral form for inpatient care and day hospice can be printed out, completed and faxed to the relevant number (see Notes on Completing General Referral Form and individual departmental referral guidance for details).

  • Handwritten General Referral Form
  • Notes on completing Myton Hospices General
    Referral Form & Day Hospice Referral Guidance
  • Information leaflet for patients referred for admission to The Myton Hospices
  • Fatigue and Breathlessness Referral Form
  • Lymphoedema External Referral Form
  • Nurse Led Bed Referral Form
  • Admission Policy and Procedure
  • Fatigue and Breathlessness Guidance

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