For physicians, discharge planners and case managers

Refer a patient for home wound care

Call or fax and we will take it from there. You will get a straight answer on what we received, what is still needed, and when the patient will be seen.

Call 850-940-4325

Call the referral line

850-940-4325
Monday – Friday, 8:00 a.m. – 4:00 p.m. Leave a message after hours and we will call you back.

Fax the referral

833-636-4600
[ADD YOUR FAX NUMBER] is where records and referral packets go.

Turnaround

[ADD YOUR REFERRAL TURNAROUND TIME — for example, "referrals received before 2:00 p.m. are called back the same business day"]

What to send

  • Face sheet with patient demographics and contacts
  • Wound care orders from the treating provider (dressings and frequency)
  • Recent history and physical
  • Current medication list
  • Discharge summary, if the patient is leaving hospital

Send records securely

Please fax records to 833-636-4600, or call us to agree a secure method. Do not send patient information through this website, and do not send protected health information by ordinary email. This website never collects patient identifiers or medical records.

Do you need anything from the patient's family?

No. If you have their consent to refer and the orders are in place, that is enough to start. We will call the family ourselves to arrange the first visit.

Referral callback request

This form is for non-clinical referral details only. Fields marked * are required.

Please do not include patient identifiers or medical records here. No names, dates of birth, diagnoses, insurance numbers or clinical notes. Call 850-940-4325 or fax 833-636-4600 to send records through a secure channel.

So we can reply the way your office works.
Non-clinical details only — for example, who to ask for or the best time to call.
This box is unchecked by default. If you leave it unchecked, we will only call you back about this request.

Referral questions

Need to talk it through first?

Call us with the county and the wound type. We will tell you whether we can take the referral and what we still need.

Fax referrals
833-636-4600
Office hours
Monday – Friday, 8:00 a.m. – 4:00 p.m. Leave a message after hours and we will call you back.
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