Patient Referral Form

Fast, responsive intake for case managers, discharge planners, physicians, and social workers. First Choice Home Care Agency is an approved provider for ICWP, NOW, COMP, GAPP, CCSP, SOURCE, VA, and private pay, offering both skilled nursing and personal support services across Metro Atlanta.

Need an Urgent Referral or Same-Day Discharge?

Call our intake team directly at (404) 333-8960 or fax records to (833) 525-1955. We respond to standard submissions within 24 hours and same-day for urgent cases.

Why Refer to First Choice Home Care Agency?

• Rapid Turnaround: We respond to standard referrals within 24 hours and same-day for urgent cases.
• Comprehensive Waiver Access: Approved across all major Georgia Medicaid waivers, plus VA and private pay.
• Dual-Tier Services: Skilled nursing and personal support delivered by a single, coordinated agency.
• Reliable Continuity: Dedicated point of contact for every case, from referral through ongoing care.
• Complete Metro Footprint: Serving Metro Atlanta and surrounding counties.

How to Refer

1. Complete the secure referral form below with patient and service details.
2. Our intake team reviews and confirms coverage and eligibility.
3. We contact you and the patient to begin the onboarding process.
4. Care begins on the agreed start date, with ongoing updates to the referring provider.