1st Care At Home would be honored to provide comfort and care to your patient.
Please reach out to us to discuss your referral or complete and return the appropriate form below.

Make a Home Health referral!

1st Care At Home-South Boston
Referral fax: (434) 572-6211
Referral phone: (434) 572-1312
Email: HHSouthBoston@firstcare.biz

1st Care At Home-Lynchburg
Referral fax: (434) 384-2811
Referral phone: (434) 384-2800
Email: HHLynchburg@firstcare.biz

Not sure which location you need? Check our service areas:
South Boston
Lynchburg

Home Health Accepted Insurances
*Other insurances may be accepted upon review

Home Health -South Boston

Home Health-Lynchburg

Make a Hospice referral!

1st Care At Home Hospice
Referral fax: (434) 572-6211
Referral phone: (434) 572-0063
Email: Hospice@firstcare.biz

Hospice services currently only offered in Halifax, Charlotte, Mecklenburg County, & Pittsylvania Counties.

Service area zip code list

Hospice Referral

Physicians Guide to Hospice

Personal Care Information

Accepted Insurances

Service Area

Private Duty Rates

Submit a Professional Provider Evaluation Survey

Professional Provider Survey

Please indicate your opinion of the following statements.

The referral process was completed with ease; information requested was pertinent to client care. *

When calling into the agency, you were greeted in a prompt and professional manner. *

Home care services were provided as requested. *

Frequency of communications was appropriate and pertinent to the provision of client care. *

The agency provided opportunities for appropriate coordination of care among various disciplines. *

Your expectations for the home care client were met. *

Your client benefited from having home care. *

Grievances were resolved timely. *

How can we improve our services?

Would you request/recommend our agency to other clients/organizations to meet their needs? *

Provider Name

Optional

Provider Representative

Optional

Telephone Number/Ext.

Optional