Physician Referral Form
Please complete the following referral form
To inquire about or order services, please call our central intake unit at 1-800-704-4341, or use the form below and our nurse will contact you. We will ask you a few simple questions to get the process started.
Americare can be there to make sure your patient is following your plan of care and keep you updated on your patient’s condition.
We’re available 24/7 to help ensure compliance, monitor medications and provide a wide range of other home health care services that support your treatment. Most patients can receive care in as little as 24 hours of your referral.