Online Referral

Home Solutions can be contacted in a variety of methods in order to make a referral.

Whichever method you choose, telephone, fax or online, our staff strives to facilitate a complete and expeditious referral process.

The online referral form can be used to submit a referral directly to our intake department or as a template to be faxed. Simply go to and click on First Time User. Select your nearest branch and fill out the registration form.

Just log in to submit a referral. You will automatically receive confirmation that Home Solutions received your referral. Home Solutions will send you an automatic confirmation e-mail upon the completion of the referral.


- HIPAA Compliant Encrypted Site
- Communicate with Home Solutions' staff through our online form
- Complete online record of the patients who were referred through our online referral system
- View online status of the referral
- Allow to edit patient's information online
- Automatic confirmation of referral submission and completion

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