Patient Sign-Up / Referrals – Human Touch Home Healthcare Colorado | Top Home Health Care Agency

Main Intake Number: 1-303-974-4975

Patient Sign-Up / Referrals

Human Touch Home Health Care receives referrals from many sources, including friends and family of loved ones, doctor’s offices, hospitals, discharge planners, assisted living facilities, and insurance companies. Once we receive a referral, Human Touch’s expertise allows us to help people with very complex medical conditions transition home.  Human Touch is the only Home Health Care Service that lets you submit a full intake form online in less than 5 minutes.  Just another way we are working to innovate your care for a stress-free experience.

To Make a Phone Referral / Intake Please Call: 1-303-974-4975

Please use one of the two quick and easy forms to Sign Up For Care.  Most fields are Not Required, but the more complete the application is, the quicker we can start care.

The Quick Form allows you to submit a referral in less than 60 seconds.  More information will need to be filled in later.

The Long Form consists of everything needed for our standard intake process and will take 4-5 minutes to complete.

Submit Patient Information Instantly.


To Get Started Please Choose a Form:

Quick Referral Form
Long Referral Form

Quick Referral

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