Use this page to refer a client, patient, family member, or loved one for compassionate non-medical home care. We will follow up promptly and professionally.
This form can be used by family members, discharge planners, social workers, healthcare partners, community organizations, or anyone helping connect someone with support at home.
Use this section to explain your intake expectations, referral response timeline, or service area.
Use our Care Finder to securely guide the referral through the information our care team needs to review the request and follow up.
Please avoid sending sensitive care details by regular email. If you need help with the referral, call (574) 340-7070.
