HHUNY is accepting referrals from the community (health care providers, community organizations, individuals and/or family members) for enrollment of eligible individuals into HHUNY Health Home Care Management Services.
HOW TO MAKE A REFERRAL TO HHUNY
Complete the online form below including as much detail as possible to allow HHUNY to verify eligibility for health home care management services.
Self-Referral: If you're submitting a referral on behalf of yourself or a family member
Community Referral: If you're an agency, health care provider or community organization and submitting a referral on behalf of someone in the community
Please click on attachment A to view the list of agencies and organizations that your information may be disclosed to, only when necessary for your referral to be processed.
Attachment A for Central Region
Attachment A for Finger Lakes Region
Attachment A for Southern Tier Region
Attachment A for Western Region
Other Options for Making a Referral to HHUNY
Download the referral and consent form and send via secure e-mail or fax, or mail to:
Tracy Marchese, HHUNY Community Referral Coordinator
Email: tmarchese@hhuny.org
Fax: 585-613-7670
Mail: Community Referral Coordinator
HHUNY
1099 Jay St, Building J,
Rochester, NY 14611
Referral forms:
Determine the county you prefer to receive services and download the referral form for the region. **Fillable referral forms can only be completed in Internet Explorer and Google Chrome.
For more information please call 1-855-613-7659, where you will be offered assistance in completing a referral and consent form.
Submit a question below: