Submit a Referral

Refer Someone to Legacy Roots

Atlanta's Private Home Care Provider

Know someone who could benefit from our compassionate care services? Submit a referral and we'll reach out to them within 24 hours.

Referral Information

Please provide as much information as possible so we can best assist the person being referred.

Who are you referring? *

Patient / Client Facility / Organization

First Name *

Last Name *

Phone Number

Email Address

Address

Type of Care Needed *

Companion Care Personal Care Meal Preparation Medication Reminders Transportation Respite Care Overnight Care Other

Describe Care Needs

Your First Name *

Your Last Name *

Your Email Address *

Your Phone Number

Relationship to Patient

We'll contact the patient/family within 24 hours

Our process is simple and seamless

1

Your referral is reviewed by our team within 24 hours of submission.

2

Our care coordinator reaches out to discuss needs and schedule a free consultation.

3

Once a care plan is agreed upon, we match a qualified caregiver and begin services.

Contact us directly for immediate assistance with your referral.