Medical Professionals

Get the VNA Advantage

  • Experienced home health nurses serving as liaisons in most area hospitals
  • Liaisons also work with many local nursing homes and rehabilitation facilities
  • The liaison team assists physicians and discharge planners in planning the transition from hospital to home

Easy Referrals

The VNA's Centralized Referral Intake Department is designed to make Patient referrals as easy and efficient as possible. We aim to help your patients through the referral process, coordinating all referrals and admissions for all services offered by both the VNA and VNA Home Care Services.

  • Referrals taken 24 hours a day, 7 days a week, and 365 days per year
  • Referrals are handled by a customer service representative expert in that particular field. 
  • A registered nurse is available at all times. 
  • Normal business hours are from 8:00am to 8:30pm weekdays, and from 8:00am to 4:30pm on weekends
  • After hours, an extensive on-call team consisting of nurses, pharmacists, rehab therapists, home health aides and warehouse/dispatch staff is available.

Physician Referral Form

Please enter the following information regarding the patient and need for services. A VNA representative will be in contact via telephone to complete the basic information required to initiate services for your patient. If this is an urgent request for services, please call the VNA Central Intake at (716) 630-8100 or toll free at 1 (800) 442-3227.

Patient Information

Patient Last Name:

 

Patient First Name:

 

Date of Birth:

 

Primary Diagnosis:

 

Primary Home Care Services Needed (select at least one):

Choose:

     

Secondary Home Care Services Needed (select as many as needed:

Choose:

 

Physician Information

Referring Physician:

 

Contact Name:

 

Contact Phone:

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