Refer A Client

Prospective clients value a recommendation from a friend more than any other referral method when beginning the search for a home health aide. As a way of harnessing the power of this advertising source, we have devised a client based referral system to facilitate and encourage xpress health care staffing clients to recommend the company to others.

The referring customer would receive a discount on xpresshealth care staffing services for a set period of time following the enrollment of the new customer. For the in-kind service model, the referring customer would receive additional free services as a token of appreciation for a set period of time following the referral.

A 10% discount on services for the referring customer for a month following the enrollment of the new client that he or she referred.

Please complete the form below to refer a client:

Comments or questions are welcome.

Refer A Client1
Your Name (*)
Please let us know your name.
Your Email (*)
Please let us know your email address.
Subject (*)
Please write a subject for your message.
Clients Date of Birth
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Clients Medicare Number
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Insurance Information
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Has the client ever received home health care service in the past?
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Client lives in a: (*)
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Is the client able to drive a car safely on a regular basis?
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Does the client use any type of assistive device e.g. cane/walker/wheelchair?
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Is the client willing to receive home health services?
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addition information
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Please enter verification Please enter verification
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