Trinity Home Health Services

Trinity Home Health Services - Toll-Free 877.827.0788 - Fax 866-404-9382 - http://www.trinityhomehealth.org

Make a Referral

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IF THERE IS AN URGENT NEED, PLEASE CALL 1-877-217-9901
Here are 2 easy ways to make a referral for home care or hospice services:
  1. During business hours (8:30 am to 5:00 pm EST) call and speak to a customer services intake coordinator at 1-877-827-0788 
  2. Print out and fax back our Express Referral Form to 1-866-404-9382 
Please refer to the Home Care Criteria and Hospice Care Criteria sections of our site before completing this form. Please note that we only provide services in the following states: California, Indiana, Iowa, Michigan, and Ohio. To begin the referral process to Trinity Home Health Services, please complete the following form. 

A representative of Trinity Home Health Services will contact you at the number you provide in the Referrer Information section of this form once the referral has been received and processed at our offices.