Referral

LKHS carries a high standard for home health services.  By referring your patients to us, you can be assured of the best care and support by our professional staff. You may refer a patient by phone or by fax. If you have any questions, or need assistance filling out the Referral Form (see below), please contact us, 1.888.578.9890.

How to Refer a Patient for Home Care by Phone

1. Call LKHS at 1.888.578.9890.
2. 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

How to Refer a Patient for Home Care by Fax

1.  Download or request a copy of our Patient Referral Form (below)
   • Word Document
   • PDF Document
2.  Fill out the necessary 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
3.  Fax form to: 412.578.9893