All guests must have a referral from a hospital, medical facility, assisted living, nursing home, hospice or funeral home. Guests stays are evaluated on a case by case basis, but guests may stay long as the loved one or patient is under immediate doctor care at the hospital or other medical facility. Molly’s House requests a $30 donation per room per night. However, we will never turn anyone away if they are unable to make a donation. We serve medical facilities, hospitals, nursing homes, assisted living facilities and funeral homes in Palm Beach, Martin, St. Lucie, Indian River and Okeechobee counties. A Caregiver is needed if guest needs assistance with walking, bathing, seeing or hearing or has other challenges that someone will need to help them with. We do not offer medical advice or rehabilitation services.
Referrals & Forms
A referral form can be found in the links below. The medical facility should complete the form and fax it to 772.223.9990, or email to firstname.lastname@example.org.
Please complete all information. Children under 18 must have their ages in order for us to determine room accommodations. Referrals can be made 24-hours a day.
Agency Referral Form
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