Provider Referrals

NCHHHA is committed to assisting you in securing services for your patients in a timely manner. We process referrals 7 days a week and have a robust intake team that works on the weekends. Our goal is to admit patients within 48 hours of receiving a referral. If you have urgent needs and require us to admit a patient same day we would be happy to do so! Please call and ask to speak to the Intake RN who is available 24/7.

Below are our referral forms these can be faxed to (866) 925-8285 .

Now using Navi Health / NH Intake!

Home Health Referral Form

Palliative Care Referral Form

Hospice Referral Form