FAQ For Physicians
Who should I refer for home care services?
Any patient who is in need of
skilled services such as nursing, physical therapy, occupational therapy or speech therapy can be referred for home care services. These needs may arise at the time of transition from the hospital or nursing home, during an exacerbation of a chronic condition or in association with a new diagnosis or illness.
Poorly controlled chronic illness (heart failure, diabetes, HTN)
Nurse for disease management including vital signs monitoring, medication education and adjustment, monitoring of compliance with diet and treatments.
New mothers with high risk pregnancy
Administering and teaching Lovenox injections, monitoring blood pressure and education about other high-risk related complications.
Frequent falls, gait instability
Orthopedic conditions (post-fracture repair, joint replacement)
Physical and Occupational therapy for evaluation and management
New ostomy or feeding tube
Nurse for patient/caregiver instruction in dressing changes, ostomy care and administration of tube feedings.
Need for home infusion therapy
Nurse for home infusion of antibiotics, TPN and/or pain medication
Neurologic impairment (stroke, MS, Parkinson's, TBI, SCI)
Physical and occupational therapy for evaluation and treatment
Speech evaluation and therapy for swallowing difficulties, expressive and receptive language re-education, and cognitive training
What other services are available for patients who are receiving services at Montefiore Home Care?
Once a skilled service is in place, other services that can be provided in the home are:
Social work services Occupational therapy
Coordination of home health aide services
In-home laboratory services
What makes Montefiore Home Care different from other home health agencies?
Who pays for Home Care Services?
How do I make a referral to Montefiore Home Care?
Moses Liaisons: 718-920-4343
Weiler/Einstein Liaisons: 718-904-2828
Carecast referrals (inpatient):
Place Orders Click on
Home Care Consult and complete the fields
Carecast referrals (outpatient):
Ambulatory tab Click on
Order Home Care Consult for Outpatient Follow steps for
Home Care Consult and complete fields Place orders
Fax a community referral form to
here to download form. Call the central intake unit at
718-405-4800 For patients who require a Face to Face Encounter Form, please
click here to download the form here and fax to 718-367-0111