Referrals & Forms

Referral Instructions

To make a referral please fax or email the downloadable referral packet as indicated on the form.

We also take referrals by phone by calling 914-787-6158 and selecting the menu option for intake.

Face-to-Face Encounter Form

To download the face-to-face encounter form, please click here.

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I received expert care from my Lawrence Home Care of Westchester nurse. I consider myself fortunate to have been assigned these professionals following my discharge from cardiac surgery. My experience was extremely positive. My nurses were totally focused on my needs and concerns. When I was depressed regarding my recovery, they were supportive and encouraging regarding my progress. My nurses imparted valuable information regarding my recovery and informed me what services I was entitled to receive from medicare. I am very grateful to my LHCW nurses for their caring, warmth, and professional expertise.

— Jacolyn