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

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

 

 

Office Hours

Mon - Fri: 8:30 AM- 4:30 PM

(203) 288-8200

(203) 288-8205 (fax)

 

On-Call Service:
Certified nurses available 24/7

 

 

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2751 Dixwell Ave

Hamden, Connecticut, 06518

info@homehealthspecialtyservices.com

© 2020 by Home Health Specialty Services