Refer a Patient

Do you know a senior who could use extra support? Doctors' offices, care facilities, community organizations and family members can refer patients to Medcare. Our team will reach out to the patient to explain our services and answer their questions.

Referral Form

About the patient and about you

About the Patient

What challenges is the patient facing? (select all that apply)

About You

Please complete all required fields before submitting.

This form is secure and HIPAA compliant. Medcare does not offer payment, gifts or incentives of any kind in exchange for referrals.

Questions? Call us at (800) 303-1766, Monday – Friday, 9:00 AM – 6:00 PM Eastern Time.

How it works

Making a referral is simple

1

Submit a referral

Fill out the secure form below. It takes about 2 minutes.

2

We reach out

A Medcare representative will call the patient to explain our services and answer their questions.

3

Support begins

If our services are a good fit, the patient is connected with a dedicated case worker.