Refer a patient
For discharge planners, case managers, assisted living staff and home health teams placing a patient with primary care at home.
We take over primary care for patients who are going home and will struggle to get to a clinic. Chronic disease management, medications, and the orders that keep them out of a waiting room.
Visits are by Deborah McKnight, PhD, ANP-C, who owns the practice, with Dr. Juan Zamora, MD as collaborating physician. Both are on Medicare Care Compare.
We are accepting new patients. If a patient is going home and needs primary care that comes to them, send them.
Three ways, one destination
The portal asks what kind of referral it is and who is sending it, so the same link works whether you are a hospital, an agency, or the patient's daughter.
Referral portal
referral.dfwhousecalls.com. Fastest, and it captures what we need up front. Attach the face sheet, medication list and notes there as a PDF or a photo taken on your phone.
Fax
(214) 206-8979. Face sheet, medication list, recent labs and diagnostics, recent notes, and the current 485 if there is one. If not, send what you have.
One page to keep
Print our referral sheet: fax number, what to send, coverage and service area on a single page.
Coordination back
We keep the patient's home health team in the loop on what we find and what we change.
Who we are a good fit for
- Going home, or already home, and clinic visits are a burden on the patient or the family
- Needs ongoing primary care rather than a one-time visit
- Anywhere in the Dallas-Fort Worth metroplex, both sides. See areas we serve
- Living at home, with family, or in independent or assisted living
What we are not
- Not an emergency or urgent care service
- Not a home health agency. We work alongside one, we do not replace it
- Not specialty care. Specialists and hospital procedures stay where they are
- We order mobile labs, X-ray, ultrasound and EKG and review the results. We do not perform them
Plans we accept
Worth checking before you place the patient.
Traditional Medicare & Medicaid
Eligible patients
Amerigroup
Medicaid / MA
Humana
Various plans
Tricare East
Military families
UnitedHealthcare
Various plans
More detail on what Medicare covers.
Before you send one
Does the patient have to be homebound?
No. Homebound is a Medicare rule for home health agencies, not for a provider visiting the home. If getting to a clinic is hard on the patient, that is reason enough.
Can we refer if the patient already has a primary care physician?
Yes. Many patients transfer because their existing physician has no way to see them at home. The patient chooses.
Do you work with our home health agency?
Yes, that is the normal case. We coordinate with the agency's nurses rather than around them, and agencies have their own portal.
What if the patient is outside your usual area?
Call and ask. We occasionally travel further for established patients, and if we are not the right fit we will say so rather than leave you waiting.
Have a patient to place?
Call or text and describe the situation. We will tell you plainly whether a house call fits, and what the first visit looks like.