(847) 803-6993

Care available 24/7 · Office Mon–Fri 10–5

Request Care

Referring a patient

For physicians, hospital discharge planners, case managers and social workers arranging home health care in Illinois.

How a referral works

Call or fax us with the patient's details. We take it from there — including chasing any missing orders or documentation, so it does not come back to your desk.

  • Call or fax the referral to our office
  • We verify insurance coverage and confirm eligibility
  • A registered nurse completes the in-home assessment
  • We report back to the referring physician and begin the plan of care

What we need from you

  • Patient name, date of birth and contact details
  • Physician's order and current plan of care
  • Relevant diagnoses, medications and recent discharge summary
  • Insurance information

Fastest route

For a same-day discharge, phone is faster than fax and we will confirm receipt while you are on the line.

By phone

(847) 803-6993

By fax

(847) 803-6995

When we are reachable

Office Mon–Fri, 10 am – 5 pm
On-call nurse after hours, Sat & Sun

Referral Form

Send a referral

For non-urgent referrals. For a discharge happening today, please call the office instead.

Initials are fine at this stage.

This form is not secure and is not for protected health information. Please do not include diagnoses, medical record numbers or clinical detail — send those by fax, or call the office.