Referrals

Summith Home Healthcare appreciates that you have made us your choice as the home health provider for your patients, yourself or a loved one. Please complete the
appropriate patient referral form either online or by downloading a copy
that can be completed and submitted by fax or mail:

Secured online forms:

  • Medical/Professional Referral

  • Patient, Family or Friend Referral



    • Hard copy version:
  • Medical/Professional Referral
  • Patient, Family or Friend Referral


    • The hard copy version is a PDF file and requires Acrobat Reader, a free
    program available from Adobe Systems, on your computer to view
    and print. Download here.


    Please submit the hard copy referral form by fax (210-615-3876) or
    via mail:

    Summit Home Healthcare
    7475 Callaghan Road
    San Antonio, TX 78229

    This information is secured according to HIPAA standards and requirements.

    At Home Healthcare knows that you want the very best possible care for your patients, yourself and your loved ones. We hope that you will continue to select us as your provider of choice.