Patient Referrals

The kind of care you receive at home is crucial to recovery. Through a combination of evidence-based best practices, a patient-centered team approach, and education for your caregivers, our home health staff members are committed to providing highly skilled care right in your home.

To make a referral for Home Health Care:

  1. Download and fill out this form.
  2. Fax back to us with the required documentation at
    (480) 966-8892

Referrals must come from a licensed clinical professional and contain orders for Home Health Care. A complete referral will contain:

  • Patient Demographics
  • Insurance Information
  • Recent History and Physical
  • Discharge Summary and Visit Notes
  • Medication List
  • Skilled need "Face to Face" information
  • MD orders signed by attending
A woman talking to her doctor about something