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Call us at (469) 688-0414
Fax: 817-840-6406

Refer A Patient

Thank you for choosing AmeriCare Specialty Home Health, Inc.

We are committed to providing excellent service and care to your patients.

For additional information concerning patient referrals, please call (817) 431-5701 or (469) 688-0414. Both lines are staffed weekdays between 8 A.M. and 5 P.M.

How to Refer

  1. Download Patient Referral Form
  2. Fax form and additional information to: 817-840-6406
  3. Include:
    • Patient Medical History
    • Hospital Discharge Summary
    • Diagnostic and Laboratory Results
    • Encounter Details/Face to Face Encounter
    Face To Face Encounter Form
  4. Once received, one of our intake coordinators will call you for confirmation.