Home Care of Lake County

 

Referral Form

Home Care of Lake County and Around the Clock Home Care takes referrals from physicians, patients, families, skilled nursing facilities, schools, the ODJFS, the Board of DD,  and the Help Me Grow program. This intake/referral sheet allows us to know more about your needs. Please fill out the intake sheet and a representative will contact you to let you know how we can best meet your individualized needs.