Patient Referral Form

Use this secure referral workflow for a patient who may need Ameri-Care home health services in Miami-Dade. Authorized physicians, discharge planners, facilities, and representatives may provide the referral details and required clinical documents for intake review.

Submitting a referral does not confirm admission, service availability, coverage, or authorization. Our intake team reviews each referral and coordinates the appropriate next step. For an emergency, call 911.

How to refer a Patient for Home Health Care: A complete guide for physicians.