Refer a Patient | HHSS, Inc.

REFER A PATIENT BY FAX 203-288-8205

Refer a Patient for Home Care by Fax:

Download or request a copy of our Patient Referral Form (see below)

Fax form to our Intake Coordinator @ 203-288-8205

PDF Referral Form

REFER A PATIENT BY PHONE 203-288-8200

Call Home Health Specialty Services, Inc. and speak to an Intake Coordinator.

Please provide essential patient information, including:

- Name, Address and Phone Number
- Social Security number and Date of Birth
- Current insurance information, including Medicare
- Emergency contact information
- Ordering MD’s name
- Primary diagnosis and reason for referral
- Types of services required
- Recent medical history
- Current medications