For Providers
Make a Referral
Send a referral by phone, fax, secure email, or the online form below. Our intake team coordinates eligibility, scheduling, and clinical hand-off so your patient gets timely home-based care across Pennsylvania and Florida.
How It Works
What to Expect After You Refer
Our intake team contacts you within one business day for routine referrals and the same business day for urgent or same-day requests.
Step 1
Submit Referral
Send clinical information through your preferred channel. Our team confirms receipt and begins chart review right away.
Step 2
Insurance & Eligibility
We verify benefits, obtain authorizations when required, and communicate any coverage questions before care starts.
Step 3
Patient Outreach & Scheduling
We contact the patient and family, answer questions, and schedule the first visit with the right disciplines and timing.
Step 4
Ongoing Communication
Expect progress updates, care plan collaboration, and timely responses if needs change or discharge planning begins.
What to Have Ready
We only need referrer-side details to get started. After we receive your referral, our intake team will reach out by phone, fax, or secure email to collect any patient-specific information.
Do NOT include patient PHI on this form. Patient name, date of birth, MRN, and other identifiers are exchanged out-of-band after our team responds.
- Your name and role (physician, NP, case manager, etc.)
- Practice or agency name and best callback contact
- Type of care needed (e.g., post-surgical wound care, PT, IV antibiotics)
- Urgency: routine, urgent, or same-day
Send a Referral the Way That Works for You
Use any channel below — our intake team monitors all of them during business hours and on-call after hours for urgent and same-day referrals.
Call
(888) 507-2997
Mon–Fri 8a–6p · 24/7 on-call for urgent referrals
Fax
(800) 734-6095
Cover sheet only — no PHI in the cover; secure transmission to intake
Secure Email
referrals@carepine.com
HIPAA-compliant inbox; for PHI use encrypted email or our secure portal
Office fax lines
- Allentown, PAFax 800-734-6095
- Stroudsburg, PAFax 800-734-6095
- Horsham, PAFax 800-734-6095
- Boca Raton, FLFax 800-734-6095
- Pompano Beach, FLFax 888-986-6650
Submit a Referral
Share referrer details below and our intake team will call you back to collect patient information by phone, fax, or secure email.
No patient PHI on this form.
This form collects referrer-side details only. To exchange patient name, date of birth, MRN, or any clinical identifiers, call (888) 507-2997 or fax to your local office.
Questions Before You Refer?
Our intake team is happy to walk through coverage, eligibility, or specific patient needs by phone before you submit a referral.