(239) 688-6686Request care

For referrers

Refer a patient in a few minutes

We bring wound care and medical visits to your patients and residents, and keep your team informed.

Request a referral callbackReferral form (PDF)

Questions? Call (239) 688-6686 · Fax (239) 688-6671

How it works

Referring takes one call

  1. Request a callback

    Leave your name, practice or organization, phone, and the best time to call. No patient information is collected online.

  2. We call you

    Our team calls to take the referral details by phone.

  3. Send records securely

    We’ll confirm the secure way to send records; our fax line is (239) 688-6671.

Request a referral callback

Who we partner with

  • Home health agencies
  • Skilled nursing & assisted living
  • Hospice & palliative care
  • Physicians and specialty practices

How we support your team

  • Home health and facility coordination
  • Provider communication
  • Patient education and preventive planning
  • Compliance-focused documentation

Care coordination & support

Prefer paper?

Download the Revitalize referral form (PDF) and complete it manually. Please call (239) 688-6686 to confirm the secure way to send it. Our fax line is (239) 688-6671.

Questions about partnering?

Call (239) 688-6686 or email [email protected] — please don’t include patient health information in email.