Secure document upload

Upload agreement (required)

• I am a healthcare provider, facility staff member, or the patient's authorized representative, and I am permitted to share these records with Ally Hospice & Palliative for the patient's care, referral, or treatment.
• I will upload only the records needed for this referral (such as an H&P, recent progress notes, medication list, or face sheet).
• Files are sent over an encrypted connection and stored privately. Only authorized Ally staff can open them, and each download is logged.
• Uploading records does not by itself admit the patient or start services. Ally's intake team will contact me to follow up.
• This upload is not for emergencies. For a medical emergency, call 911.
• My name, email, the date and time, and this agreement version are recorded as proof that I agreed.

Agreement version 2026-11-v1