Obtain A Medical Referral

The Beauty Bus Foundation is a non-profit organization dedicated to enhancing the quality of life for home-bound, terminally or chronically ill patients and their primary caregivers.

We provide in-home beauty and grooming treatments, free of charge, to empower our clients, help them maintain dignity and give them respite during a difficult time.

To obtain Beauty Bus Foundation services for your patient, please secure a medical referral from a treating physician.

Download the Doctor Release Form (PDF) form for review and authorization by the physician and submit the completed form to the Beauty Bus Foundation.

In addition, please complete the HIPAA Authorization Form (PDF).

If you are a treating physician, kindly download and complete the Doctor Release Form (PDF) and submit it to the Beauty Bus Foundation.

Download Forms Here