How to make referrals to HCS programs
FOR PATIENTS: Do you think a Home Healthcare referral is right for you?
- Ask your clinicians (MD, APRN, DOP, etc.) to make a referral on your behalf to HCS.
- Wondering if Home Healthcare could be right for you? Visit our Visiting Nurse Page to learn more.
FOR CLINICIANS: To make a referral for Home Health Care:
- Download and fill out this form
- Fax it back to us with the required documentation at 603-357-2545
A complete referral will contain:
- Patient Demographics
- Insurance Information
- Recent History and Physical
- Discharge Summary and Visit Notes
- Medication List
- Skilled need “Face to Face” Information
- MD Orders signed by Attending
Referrals to Hospice at HCS must come from a licensed clinical professional (MD, APRN, etc.) and contain orders for Hospice. To make a referral for Hospice at HCS:
- Download and fill out this form
- Fax it back to us with the required documentation at 603-357-2545
A complete referral will contain:
- Patient Demographics
- Insurance Information
- Recent History and Physical
- Discharge Summary and Visit Notes
- Medication List
- MD Orders signed by Attending
Hospice at HCS is a holistic approach to end-of-life care, focusing on the quality of life and offering physical, emotional, and spiritual comfort to those facing a terminal illness.
Want to learn more about Hospice Care? Visit our Hospice at HCS webpage, or call us today at 603-352-2253.
- Fill out this online form
- Download and fill out this form and fax it back to us at 603-357-2545
- Call us at 603-352-2253
The caring staff of the Healthy Starts team at HCS is here to partner with you to build a village of supports to help you and your family thrive.
AA referral is not required for a Foot Clinic appointment. However, if the patient has any of the following conditions, a referral order from an MD is needed: diabetes, problems with circulation, neuropathy.
Call (603) 352-2253 to schedule an appointment.
FOR CLINICIANS: To make a referral to the HCS Foot Clinic:
- Download and fill out this form
- Fax it back to us at 603-242-1534
Please call (603) 352-2253 for availability or to sign up.
Meals on Wheels deliveries can help folks stay independent at home by providing good nutrition that is brought to their home. Breakfast bags, weekend meals, and special diets are also available.
Meals on Wheels are currently served in Richmond, Chesterfield, Fitzwilliam, Gilsum, Hinsdale, Jaffrey, Keene, Marlborough, Nelson, Rindge, Sullivan, Swanzey, Troy, Westmoreland, and Winchester. Requests in other Cheshire County towns are considered on a case by case basis.
Please call (603) 352-2253 for information or to make an appointment.
Homemaking at HCS aims to assist older adults and individuals with disabilities maintain cleanliness in their homes to enhance their quality of life. Potential clients must meet homebound status.
If you have questions about any of these programs, please reach out to our Intake Team.
Or stop by the Keene or Peterborough Offices for Walk-In Wednesdays, weekly from 1 -3 PM, to talk with a staff member about services.