For healthcare professionals and families

A referral path built around clarity and privacy.

Physicians, discharge planners, case managers, social workers, and authorized family representatives can contact us to discuss a potential care need.

Proposed referral process

Protect patient information from the first contact.

This website does not provide a secure clinical referral portal. Use the form only to request a conversation about the process.

  1. 01

    Start with a general inquiry

    Call the office or use this page to ask about service fit and the approved referral process.

  2. 02

    Confirm requirements

    The agency will clarify what orders, records, authorizations, or consent may be needed.

  3. 03

    Use the approved exchange method

    Send patient information only through the secure process the agency confirms—not through this website form.

  4. 04

    Coordinate the next step

    If the inquiry is a fit, the agency can explain assessment and start-of-care requirements.

Information that may be needed later

Prepare the referral—then send it securely.

  • Patient and authorized representative contact details
  • Requested service and reason for referral
  • Relevant orders and current clinical information
  • Expected discharge or requested start date
  • Payer and authorization information, when applicable

General referral inquiry

Ask us to contact you.

Share only your professional contact information and the general service category. We will use the reply to explain the appropriate next step.

Office phone240-918-7965

Do not name a patient or include protected health information.

Required field