Refer a Patient

If you are a patient, family member or caregiver, please call our Intake Department at 603-332-1133 or 800-691-1133.  If you are a provider, please see below for additional information.

Provider Referral

Making a referral is easy.  Read below and click on the icons to review our process and download our pdf forms.

CMS has relaxed regulations around a face-to-face (F2F) visit within the 90 days preceding a home health visit. For those needing a F2F, we are now able to accomplish this with the use of technology such as video chat via FaceTime, Zoom, or other teleconference technologies that offer real-time, two-way communication.

To make a referral to Cornerstone VNA’s Home Care, Hospice Care, Palliative Care, or Life Care (private duty), please call our Intake Department at 603-332-1133. Here are the documents needed to establish home care, which may be sent via fax to 603-332-9223:

  • Face sheet/patient demographics that includes a physical address & phone, and insurance information
  • Last 2 office visit notes (patient must have been seen within prior 90 days)
  • Current medication list
  • Reason that patient is home bound

Home Care
Referral Process

Referral Form

Attention Nurse Practitioners

Making a patient referral to home health care just got easier.  Click here to learn more!

Why Patients Choose Us

Cornerstone VNA has received many local and national accolades in recognition of positively impacting the lives of families through our compassionate, high-quality care.

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