For Healthcare Professionals

Connecting Patients with Care at Home.

Help patients and families connect with Home Care Associates of MI to learn more about home care services and becoming a paid family caregiver.

Step 1: Patient Requests Assistance
The patient voluntarily requests information about home care services.
Step 2: Submit a Referral
The referring healthcare professional confirms that the required patient authorization has been obtained and submits the request.
Step 3: Our Team Follows Up
Home Care Associates of MI contacts the patient to discuss available services and next steps.

Call us586-983-6932Monday to Friday, 9 AM to 5 PM Eastern

Email usinfo@homecareofmi.com

Referrals are voluntary. Patients are free to choose their home care provider. No referral fees or incentives are offered.

Refer a Patient for Home Care Services

Complete this form to request that our team contact a patient who has expressed interest in home care services.

Required field

Healthcare professional

Clinic / Organization Name

Contact Person Name

Office Email Address

Office Telephone Number

Patient contact information

Please provide contact information only. Do not include medical records, diagnoses, insurance numbers, or other sensitive medical information.

Patient Full Name

Patient Telephone Number

Preferred Callback Time

Patient authorization

All patient authorizations must be maintained by the referring healthcare organization. Please do not upload or submit medical records or other sensitive information.

Connecting Patients with Care at Home.

Step 1: Patient Requests Assistance

Step 2: Submit a Referral

Step 3: Our Team Follows Up

Refer a Patient for Home Care Services

Thank you for your referral.