Admission to our agency can only be made upon recommendation of a physician, based on the need of the client, homebound status [in some cases], and the type of services required that this agency can provide. However, if you know someone that you feel would benefit from our services, we would be glad to take a referral from you and contact the client and their physician for possible admission to our agency.

Referrals can be made by either contacting our office, filling out a referral form and faxing it to (937) 254-6292. Click the link below to download our referral form.

Choice Home Health Care Referral Form in PDF format