☎ (252) 460-5005
◷ Mon–Fri: 9AM–5PM
♥ 24/7 Care Available
2807 Neuse Blvd, Suite 12, New Bern, NC 28562
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Free Care Assessment
☰
Home
About
Services
CAP/C
Veterans
Resources
Careers
Contact
Free Care Assessment
FOR PROVIDERS & CASE MANAGERS
Medical Referral
Submit basic referral information and our team will follow up to coordinate next steps.
Please do not submit full medical records, Social Security numbers, or other highly sensitive documents through this form. Our team can coordinate secure documentation after initial contact.
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Referrer full name
Agency / facility
Phone
Email
Client / patient name
Client phone
Requested service
Choose one
Personal Care
Companion Care
Homemaker Services
Respite Care
Dementia Care
Disability Support
Transportation
CAP/C
Veterans Home Care
Other
Clinical / care needs
Additional notes
Submit →
A Legacy of Hope Homecare team member will follow up using the contact information you provide.
COMPASSION TODAY. LEGACY TOMORROW.
Ready to Begin a Legacy of Better Care?
Free Care Assessment →
Call (252) 460-5005
