Make a Referral

Connect a patient or loved one with care at home. Choose the option below that best describes you, and our team will help you explore the next steps.

For Families & Caregivers

Do you know someone who may benefit from Home Care, Home Health, or Hospice services? You don’t need to wait for a doctor’s referral — anyone can reach out to Eden Health to explore care options.

Fill out our Referral Form to share basic information.
Our care coordination team will contact you promptly.
We’ll work with your loved one’s physicians to confirm eligibility and begin services as quickly as possible.

Questions about a referral? Call 208-417-7306

Patient Information

Full Name of Patient

Phone Number

Current Living Situation

Primary Diagnosis or Concern

Referrer Information

Your Name

Phone Number

Relationship to Patient

Additional Notes

Best Time to Contact

Additional Comments / Concerns

For Healthcare Providers

Refer a patient for Home Health, Home Care or Hospice using the referral process below. Our team can assist with care coordination and next steps

Questions about a referral? Call 208-417-7306

Patient Information

Full Name of Patient

Phone Number

Current Living Situation

Insurance Coverage

Primary Diagnosis / Reason for Referral

Referring Provider Information

Provider/Facility Name

Phone Number

NPI Number (optional, if required for billing)

Supporting Documents

Upload Patient Records (file upload option: medical history, hospital discharge summary, etc.)

Why Refer to Eden Health?

Comprehensive services: Home Care, Home Health, and Hospice.
Physician-directed, personalized care plans.
Accredited by ACHC and consistently rated for excellence.
Serving families across Southeastern Idaho with compassion and dignity.