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 so we can begin ur intake admission process.

Focus Home Health Care Inc.

 5946 North Milwaukee Ave, Chicago IL, 60646 2nd Floor
  Tel No: 773-775-7490
  Fax No: 773-775-7493