Referral

Golden Valley Home Care – Referral Program

Partnering Together for Better Care at Home

Golden Valley Home Care welcomes referrals from physicians, hospitals, healthcare providers, case managers, family members, and community partners. Whether your referral needs non-medical home care, our team will respond quickly and compassionately.

Note: Golden Valley Home Care serves only Arizona. If the individual needing assistance lives outside Arizona, we can help guide you to appropriate local resources.

We Receive Referrals From

If you would like to refer someone for care, please fill out the form below to request a free phone call appointment with a Golden Valley Care Coordinator.
Client Information:
Preferred Point of Contact (if not client):

If you are seeking information on behalf of someone else, please have them available during the phone appointment to provide consent for screening. You can also notify the individual that you are making this referral and that Golden Valley Home Care will contact them by phone.

Arizona Residents

You May Be Eligible!

If you live in Arizona and have Medicaid, you may qualify for Golden Valley Home Care services.

Fill out the form below to see how quickly you can get started with pay & benefits.

Patient will need Medicaid in order to join the program.