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202-723-3060     202-723-3065 [email protected]

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Refer A Patient

With every case that we handle, we greatly consider the needs of our patients. Your dignity will stay intact. Your privacy will be highly respected. Your independence highly maximized. Most of all, we are your partner in the effective management of your health care at home. We understand how important your health is to you. It is evident that you have a commitment to get better at home by handling your health issues with the help of a care professional.

Whether you’re a medical professional or a family member, we look forward to hearing from you and partnering with you to ensure your healthcare needs are met.

Don’t hesitate to contact us with any questions you may have.

Our Office

7600 Georgia Avenue, Suite 323,
Washington, D.C. 20012

Contact Info

  Phone: 202-723-3060
  Fax: 202-723-3065
  General: [email protected]
  Employment: [email protected]

Person Submitting the Referral:

Patient Information:

(Street, City, State, Zip):
Date of Birth
Gender:
MaleFemale
Coverage (select all applicable):
MedicareMedicaidPrivate Insurance
Recommending (select below:):
When our nurse or therapist goes to assess the patient they may discover other skills needed. Are we authorized to initiate care for all other disciplines the patient may require?
YesNo
Please indicate patients's last Doctor visit:
or hospital discharge date:
Requested SOC Date:
Physician's Signature
Signature Date:

CONTACT PREMIER HEALTH  24/7 FOR IMMEDIATE ASSISTANCE: 202-723-3060

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About Us

Premier Health Services, Inc. is registered and licensed to provide skilled and ancillary services in both the Medicaid and Medicare programs in Washington DC and currently offers the following services to our clients: skilled nursing, physical therapy, occupational therapy, speech pathology, medical social work, personal care aide and companion services. Our mission is to provide comprehensive, high quality, multidisciplinary and compassionate care to all youths in the various facilities within the comfort of those centers.

Accreditation

Premier Health Services, Inc. is fully licensed, insured and bonded; Medicare and Medicaid certified within the District of Columbia by the Department of Health. We have developed cordial and respectful professional relationships with DC Department of Disabilities, Department of Health and Human Services, Department of Aging, Department of Health Care Finance, and other non-governmental Agencies in Health Care Services. We select only the most experienced, dedicated and reliable healthcare professionals to work with you.

Contact Info

Our Office
7600 Georgia Avenue, Suite 323,
Washington, D.C. 20012

Contact Info
  Phone: 202-723-3060
  Fax: 202-723-3065
  General: [email protected]
  Employment: [email protected]

Equal Opportunity

Premier Health Services, Inc. is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind: We are committed to these principles and provide employees and clients with a work environment free of discrimination and harassment without regard to race, color, religion or belief, national, social or ethnic origin, age, disability, gender, or any other status protected by the laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics.

© 2019 Premier Health Services, Inc. – All rights reserved. | Privacy Policy | Designed by Halucion

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