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Refer a patient

For physicians, hospitals, discharge planners, and senior communities. Send a referral securely, see it acknowledged right away, and follow it from received to start of care.

A smiling nurse in blue scrubs talks with an older woman across a desk
Why partners refer

Why partners refer to us

  • A fast first call

    Every referral is routed to the coordinator for the patient’s area the moment it arrives, and they call the family the same day.

  • No chasing paperwork

    Send what you have. Missing documents are flagged and requested through the secure portal, not by email or fax tag.

  • Status you can see

    A status link shows where each referral stands, from received to start of care, without any health details.

  • A straight answer

    If we can’t accept a referral, we tell you why and suggest agencies that can, so your patient isn’t left waiting.

Checklist

Referral checklist

What helps us accept a referral quickly. Only the first five are required, and you don’t need them all to send: we’ll request anything missing.

Patients must live in our service area, be under a physician’s care, and need intermittent skilled services.

  • Signed physician order
  • Face-to-face encounter note
  • History and physical / discharge summary
  • Medication list
  • Insurance card (front and back)
  • Patient demographics sheet (optional)
Secure referral

Send a referral

Preview mode. This form can’t take real patient details: the patient below is a generated sample, and sending only adds it to the demo intake system in your browser.

Referring organization
Patient Sample patient
Services requested
Documents

Attach what you have. Anything missing is flagged for our team to request, so it won’t hold up the referral.

  • Signed physician order
    Physician-order.pdf · sample file
  • Face-to-face encounter note
  • History and physical / discharge summary
    Discharge-summary.pdf · sample file
  • Medication list
    Medication-list.pdf · sample file
  • Insurance card (front and back)
  • Patient demographics sheet (optional)
Your contacts

Your contacts

  • Marcus Bell

    Community liaison, San Fernando Valley

    Sample content

  • Renée Park

    Community liaison, Santa Clarita Valley

    Sample content

  • Intake line

    (818) 675-0181, Monday to Friday 8 am to 6 pm, with on-call coverage after hours.

  • Referral fax

    (818) 555-0187, if your system can’t use the secure form. We’ll confirm receipt by phone.