Referrals

Healthcare providers: Refer your patients to CMHH for expert home care.

Refer a Patient

Chicago Midwest Home Health partners with physicians, hospitals, and case managers throughout Chicagoland to provide seamless home health transitions. Our team responds quickly to referrals and maintains open communication throughout the care episode.

How to Refer a Patient

What We Need

  • Patient demographics (name, DOB, address, phone)
  • Diagnosis and relevant medical history
  • Physician orders for home health services
  • Insurance information (Medicare, Medicaid, private insurance)
  • Physician name, NPI, and contact information

What Happens Next

  1. We contact the patient within 24 hours of receiving the referral.
  2. We schedule an in-home assessment at the patient's convenience.
  3. Our team develops a personalized care plan in collaboration with you.
  4. We provide regular updates on the patient's progress.

This referral form is HIPAA-compliant and secure. By submitting, you confirm you have patient authorization to share this information.

Request Home Health Services

You don't always need a physician referral to get started—though we do require a physician's order to begin services. If you or a loved one needs home health care, we're here to help.

Request a Call

Thank you! We'll contact you within one business day.

If you need immediate assistance, please call 847-784-9966.

Please do not include personal medical information in this form.

Maximum 500 characters

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Or Contact Us Directly

What to Expect

  1. We contact you within one business day.
  2. We schedule a free in-home assessment.
  3. We coordinate physician orders and insurance.
  4. We begin services and adjust as your needs change.

Let's Coordinate Care Together

Whether you're a healthcare provider or a family caregiver, our intake team is ready to support you every step of the way.

Call Now: 847-784-9966