How To Make A Referral for Home Health Care


Transition Care Department
P: 1.866.862.0888 or 203.458.4275

VNA Community Healthcare is the source for guidance, support, life-at-home assistance, and home health services in Greater New Haven and Middlesex counties in CT.  By referring your patients to us, you can be assured of the best care and support by our professional staff.

You may refer a patient by phone or by fax. If you have any questions, or need assistance filling out the Referral Form (see below), please contact our Transition Care Department, 1.866.862.0888 or 203.458.4275.

How to Refer a Patient for Home Care by Phone

• Call VNA Community Healthcare at 1.866.862.0888 or 203.458.4275 and speak to a Transition Care Nurse.

• Provide essential patient information, including:
- Name, Address and Phone Number
- Social Security number and Date of Birth
- Current insurance information, including Medicare
- Emergency contact information
- Ordering MD’s name
- Primary diagnosis and reason for referral
- Types of services required
- Recent medical history
- Current medications

How to Refer a Patient for Home Care by Fax

• Download or request a copy of our Patient Referral Form (see below)

• Fill out the necessary patient information, including:
- -Name, Address and Phone Number
- Social Security number and Date of Birth
- Current insurance information, including Medicare
- Emergency contact information
- Ordering MD’s name
- Primary diagnosis and reason for referral
- Types of services required
- Recent medical history
- Current medications

• Fax form to Transition Care Department: 203.458.4388


Patient Referral Form for use by physician officesPatient Referral Form for use by physician offices
PDF Document, 39 kB

Towns We ServeTowns We Serve
PDF Document, 721 kB

Donna Ostroski, Transition Care/Hospital Liaison Nurse
Donna Ostroski, Transition Care/Hospital Liaison Nurse