Patient Referral

 Alfouz Care Services is a Home Care Agency that partners with Medicaid Waiver programs to provide care in the home.  

Our referral program can provide your patients with fast, compassionate and reliable home care transition process. Our referral program is designed to efficiently and quickly address your patient’s post-discharge needs 

To make a referral please call us at 267-412-8376  and have the following information 

• Demographic information (such as patient name, address, and telephone number)
• Patient’s emergency contact information
• Diagnosis
• Name of the ordering physician
• Name of the physician who will sign orders (if different from ordering physician)
• hospitalized patient discharge date
• Insurance information (Including secondary, if applicable)
• Desired start of care date

Physicians, please have the following information ready when referring a patient 

• Required non-skilled services 
• Significant past medical history
• Performed procedures
• Faxed or verbal orders (please note that orders should be faxed from a physician’s office if there is a prescription)
• If wound care is required: measurement of wound
• Specific instructions for specific treatment modalities