For discharge planners, case managers, and home health teams

Refer a Patient for Home Safety Modifications

A two-minute, consent-based referral. Share a name, a phone number, and what the home needs. Our team makes the first call within one business day, and you can check the status of every referral right here.

  • About 2 minutes
  • No medical records
  • No referral fees
  • Trackable status
1 About You

Your reference code and status access are tied to this email.

2 Patient Contact

Contact details only. Do not include diagnoses, conditions, medications, or insurance information anywhere on this form.

We serve Southwest Missouri and Northwest Arkansas.

3 What the Home Needs
Need type (choose all that apply)
Urgency

You will get a reference code on screen and by email.

Minimal by design

We collect a name, a phone number, a ZIP code, and a consent record. No diagnoses, no medical records, no insurance details.

No referral fees

Referrals carry no fees, commissions, or compensation of any kind, in either direction. Referring the right help is the whole arrangement.

A closed loop

Every referral gets a reference code and a status you can check: contacted, scheduled, completed. Your patients never disappear into a void.

Aging In The Comfort Of Home® is a full remodel and construction company specializing in the aging-in-place industry, serving individuals and families of all ages across Southwest Missouri and Northwest Arkansas. Referrals through this portal are requests for a home safety consultation, not medical services.