Submit Your Referrals

Easy 2 Steps to Home Health Care

We at Homeland Home Health Provider, Inc. know that making the first referral can sometimes seem to be a confusing task. We make it as easy as possible for you to refer a patient for home care. We only need the following to begin providing services to your patient.

  1. Patient’s face sheet with insurance information
  2. Physician’s order for home health services

You can simply fax it over to us at 847-983-4364 to begin services with our agency. You can also fill out the referral form on this page. After we receive these items, we will contact you. We will see the patient within 24 to 48 hours of referral. We greatly appreciate in being a part of your contribution to the community. If you have questions, feel free to send us a message.