Service Request

Referral Form

For discharge planners and other healthcare personnel, please download and use our referral form attached below and fax it to our office at 773-775-7493 or email it to focushomehealth@gmail.com so we can begin the admission process.
 

To Qualify For Focus Home Health Professional Services, A Patient Must:

  Be essentially homebound. Need not be bedridden but needs assistance to leave home
 Needs intermittent care
 Requires skilled medical care by healthcare professionals

*All patients are accepted regardless of race, color, gender, national origin, religion, age or disability.