Anyone may send a referral (patient, physicians, caregiver etc.). Fill out the referral form with as much information as possible and someone from our team will contact you. Of course, you may call us at any time and speak directly to one of our intake specialists.
Our office hours are from 9 a.m. to 5:00 p.m. Monday through Friday. After hours, please page us or leave a message and your call will be promptly returned. For immediate assistance with intake or referral, please contact Mike Rokhi at (818) 914 4416. Patient Protection Affordable Care Act provision dictates that physicians wishing to order home health care services for patients covered by Medicare must schedule a face-to-face encounter. These visits must occur 90 days prior to, or within 30 days of the start of a Medicare home health care episode, and that each visit must also be documented using the Face-to-Face Encounter Form.
It is a required form by Medicare when physicians order home health care for Medicare patients. This form affirms an encounter with the patient occurred, that the encounter was related to the primary reason the patient needs home care and that the patient’s medical status qualifies him or her as homebound.
Please complete the details below to submit your Referral request.
