Patient Referral

Anyone can request home health services. Referrals may come through the hospital discharge planner, a social worker, physician or nurse. Additionally, you, your family member or guardian can ask for an evaluation for home health care services.

” If your are a doctors office, hospital, nursing home or other health care professional referring a patient to The Gentle Hands Care Agency, LLC, please complete the patient referral form, and fax the completed form with any other pertinent documents to 614-253-2407 to begin services.

Patient Referral Form (PDF)

If you would like to find out more about the services we provide here at The Gentle Hands Care Agency, LLC, please complete and submit the form below and one of our staff will return your inquiry within 48 hours.

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If you would like to begin services, please select one of the applications below, print, complete and either scan/email,fax or mail to us using the contact information to the right of the page. Also please feel free to contact us by phone at 614-252-5224 for further information.

Supported Living Services Application

Home Health Care Services Application