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Request care

Let's build a care plan together.

Call the intake line to start today, or send a request below, a care coordinator follows up within one business day, and a nurse assessment is scheduled within 48 hours of referral.

Reach intake

However you get in touch, a person picks up.

Office 2312 Harbor Way, Harrisonburg, VA 22801Office staffed 8 a.m. – 6 p.m., Monday through Friday.

Referring a patient?

Discharge planners and physicians can call the intake line directly for same-day referral intake. Send the face sheet and orders to [email protected] and we will confirm the assessment slot back to you.

If this is an emergency, call 911.

Home health provides scheduled visits, not emergency response. For chest pain, difficulty breathing, a fall with injury, or sudden confusion, call 911 first.

Six countiesService area across Central Virginia
Care request

Request a care visit

Request received. A care coordinator will follow up within one business day. For a hospital discharge happening today, call intake at 540-555-0175 instead.

Please enter a first name.
Please enter a last name.
Enter a phone number we can reach you on.
Choose the care needed.
We need the address where care is provided.

Please do not send detailed medical records through this form. A coordinator will collect clinical information securely by phone.

Family of brands

Need a ride to the appointment first?

Safe Harbor Medical Transport runs wheelchair van, stretcher, and ambulatory trips across the same six counties, so getting there and healing at home are handled by one family of care.

Visit Medical Transport
Intake · 7 days540-555-0175
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