Referring a patient
One fax, one confirmation call, start of care within 48 hours. Here is exactly what intake needs and what you get back.
Send us
- Home health order or discharge orders with disciplines requested
- Face-to-face encounter documentation (within 90 days before or 30 days after start of care)
- Patient's signed consent form
- Patient demographics, insurance and a family contact
- Recent history and physical, medication list, and any therapy notes
Fax (310) 507-9989
Intake calls your office to confirm receipt. Questions about a case: (310) 715-8184.
You receive
- Confirmation of eligibility and accepted referral, same business day
- Plan of care (CMS-485) for signature after the start-of-care visit
- Notification of any change in condition, hospitalization, or missed visit
- 60-day summary and recertification requests, and a discharge summary
Credentials
- Medicare-certified home health agency
- Accredited by the Accreditation Commission for Health Care (ACHC)
- Licensed by the State of California
- Registered Medicare provider (NPI on file with CMS)
Refer a patient
We accept physician referrals by fax only, together with the patient's signed consent form. Nothing is submitted through this website.
Referral fax
(310) 507-9989
Please include:
- Physician order and face-to-face encounter note
- Patient's signed consent form
- Demographics, insurance and a contact phone
Questions or urgent referrals? Call the office — the same number reaches the on-call nurse after hours. (310) 715-8184