Referrals & Orders
Services / Referrals & Orders
REFERRALS & ORDERS
Case Managers and Physicians
I assure you that you and your patients will benefit from responsive home care as well as commitment and dedication from me. Additionally, our entire TEAM is focused on ensuring quality that embodies our mission and effort to Always Do More Than… for our patients and partners.
Referrals & Patient orders Upload:
1. Click on the “Referral Form Upload” upload button.
2. Complete all required information
3. E-sign the form
4. Click on the Submit Button (This form and process is HIPPA compliant and encrypted)
5. A confirmation email will be sent to the Office Contact Email
Referral Download and Fax
1. Click on the “Referral Form Download & Fax” upload button.
2. Complete the fillable PDF with all required information
3. Sign the form
4. FAX to (210) 469-4026 (This FAX # and process is HIPPA compliant)
5. If you prefer to email, send to firstname.lastname@example.org. We will send a confirmation email to the Office Contact Email
Medicare Advantage – Anthem
Medicare Advantage – Humana
Medicare Advantage – Aetna
BCBS – Medicare Advantage
Blue Cross Blue Shield of TX PPO
TRICARE Humana Military