Refer Someone For Home Care Services

Refer A Client!

Our client care coordinator will reach out once we receive and process the information.

If you have any questions please contact us at 888-336-8322 or send an email to info@elderloveusa.org

Thank you for trusting us with your care. We appreciate the opportunity to support your clients.

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Medi-Cal Clients

If you are looking to refer a client eligible for EHP Medi-Cal, Kaiser Medi-Cal, or the Community Health Plan of Imperial Valley (CHPIV) Medi-Cal covered home care, please fill out the relevant form below.

IEHP Referral Form

CHPIV Referral Form

Kaiser Permanente Referral Form

Private Pay Clients

If you are looking to refer a private paying client, please fill out the form below.

Once submitted, our care coordinator will review the information and follow up to coordinate next steps.

Private Pay Client Referral Form