Refer a Family to Crescent Cove

Crescent Cove exists to serve a child or young adult from newborn up to age 21 years with a shortened life expectancy or is not expected to live to adulthood due to a life-threatening, complex, chronic condition. The Standards of Practice for Pediatric Palliative Care (National Hospice and Palliative Care Organization [NHPOC], 2018) diagnostic categories determine eligibility:

  • Life-threatening conditions for which curative treatment may be feasible but can fail, where access to palliative care services may be beneficial alongside attempts at life-prolonging treatment and/or if treatment fails.

  • Conditions where early death is inevitable, where there may be long periods of intensive treatment aimed at prolonging life, allowing participation in normal activities, and maintaining quality of life (e.g. life-limiting conditions). 

  • Progressive conditions without curative treatment options, where treatment is exclusively palliative after diagnosis and may extend over many years.

  • Irreversible but non-progressive conditions with complex healthcare needs leading to complications and likelihood of premature death.

For anyone who wishes to refer a family to Crescent Cove, please complete our referral form either online or on paper. All information requested is the same on both forms. If you are a parent/caregiver, you are also invited to fill out the release of information forms at the same time as the referral form.

Online Referral Form

Forms for Release of Medical Records

For questions or about eligibility, please contact our team at 952.426.4711 x1 or

As part of our mission, we have actively been developing a reimbursement model to fund the care provided at Crescent Cove through working with families and state and community leaders. Crescent Cove became an approved Home and Community Based Services Provider with the Medicaid programs in Minnesota (2018) and Wisconsin (2019), and works with families for reimbursement funding through Minnesota and Wisconsin Medicaid Waiver programs for respite stays. Crescent Cove is committed to working collaboratively with families, counties and the state to ensure this resource is available for families long into the future.