Would You Like to Refer Someone?
Submit a Patient Referral Form on our Website
Please fill out and submit one of the forms below to refer a patient or family member for home health care services. A member of our team will contact you to answer your questions and discuss your options.
Download, Print & Fax
You may also download and print our patient referral form. Have the physician fill it out and return it by fax to 833-637-0715.
QUESTIONS? We’re here for you. Call 833-637-0713.
FOR PHYSICIANS
FOR FAMILY MEMBERS
SERVICES
INSURANCE ACCEPTED
COUNTIES SERVED
North Central, Northeast, & East Texas
Home Health Care
OFFICE: 833-637-0713
FAX: 833-637-0715
ADDRESS
401 Center Court Drive
P.O. Box 1298
Bridgeport, TX 76426
MEDICARE
AETNA Commercial
AETNA Medicare
American Outcomes Management
Assurant Health
BCBS
Beech Street Corporation
Benefit Administration Services
Carecentrix
Cigna
Care Improvement Plus
Coventry
Great West Health Care
Group and Pension Administrator
Several Multiplan Umbrella Companies
Homelink
Humana
Pacificare
PMSI
Principle Life Insurance Co.
Sterling Life Insurance Co.
Texas True Choice
TMHP
Tricare
UHC/Secure Horizons Medicare Direct
United Healthcare Secure Horizon
United Healthcare Commercial
United Medical Resources
VA
Wellmed
Anderson
Bowie
Camp
Cass
Cherokee
Delta
Denton
Franklin
Gregg
Harrison
Henderson
Jack
Marion
Montague
Morris
Panola
Parker
Rains
Red River
Rusk
Smith
Tarrant
Titus
Upshur
Van Zandt
Wise
Wood
INSURANCE ACCEPTED
MEDICARE
AETNA Commercial
AETNA Medicare
American Outcomes Management
Assurant Health
BCBS
Beech Street Corporation
Benefit Administration Services
Carecentrix
Cigna
Care Improvement Plus
Coventry
Great West Health Care
Group and Pension Administrator
Homelink
Humana
Pacificare
PMSI
Principle Life Insurance Co.
Sterling Life Insurance Co.
Texas True Choice
TMHP
Tricare
UHC/Secure Horizons Medicare Direct
United Healthcare Secure Horizon
United Healthcare Commercial
United Medical Resources
VA
Wellmed
COUNTIES SERVED
North Central, Northeast, & East Texas
Anderson, Bowie, Camp, Cass, Cherokee, Delta, Denton, Franklin, Gregg, Harrison, Henderson, Jack, Marion, Montague, Morris, Panola, Parker Rains, Red River, Rusk, Smith,Tarrant, Titus, Upshur, Van Zandt, Wise, Wood