Referral Partners | Reassuring Presence Home Care

Referral partners

We help families move from concern to a clear plan.

Referral forms are available for hospitals, discharge planners, clinics, social workers, retirement homes, family physicians, churches, and community partners. Formal partnership claims should only be added after confirmation.

Home-care support that gives families confidence and reassurance.

Discharge planners

Social workers

Clinics

Retirement homes

Faith/community groups

Downloads

Referral documents

Family Referral Form

A clear referral form for families and community contacts.

Download PDF View HTML

Professional Referral Form

Designed for discharge planners, clinics, retirement homes, and referral partners.

Download PDF View HTML

Safe Transition Home One-Page

A one-page overview for families planning safer returns home.

Download PDF View HTML

Secure referral inquiry

Submit non-urgent referral details so the team can follow up and clarify next steps.

Online inquiry submission is not available yet. Please call or email us instead, and do not enter personal or health information into this form.

Referring person / organization

Phone

Client relationship

Preferred contact method

Preferred date/time

Type of care needed

Client name

Client phone

Preferred start date

Urgency level

Consent confirmation

Message

I consent to Reassuring Presence Home Care contacting me about this inquiry. I understand this website is not for emergencies.

Information submitted through this website is used to respond to your inquiry. Please avoid sending urgent medical details or sensitive information that is not needed for initial contact.

This website is not for medical emergencies. Call 911 for emergencies. Please do not submit urgent medical information through this website.