For providers
Refer a patient
Physicians, case managers and discharge planners — start a referral here and we call you back the same business day.
For providers
Start a referral
Give us your details and we will call you back the same business day to take the clinical information over the phone or by secure fax.
Send clinical information by fax, not by this form
This form is for your contact details only. Send the DMA-6, physician orders, discharge summary and any patient identifiers to our secure fax:
(404) 446-9984
Or call (404) 595-2105 and ask for a care coordinator.
- Same-business-day callback.
- We handle the medical necessity documentation and prior approval.
- Families keep freedom of choice of provider — we never pressure a placement.