Make a Referral - 2 Easy Steps
1. Complete form. Complete form below to make a formal referral as a potential client at Hiawatha HomeCare.
2. We will contact you. One of our intake representatives will contact you on the next business day.
If this is an urgent need, please contact us at 800-837-8898 - during business hours ask to speak with intake; after business hours, please ask to speak with the on-call nurse.