Request Services

Services may be requested by contacting our offices and/or your case manager to request our agency.

If you are requesting services that will be paid for by the patient/family, then please contact our Canton office at 330-966-2311.

Request services by selecting the branch office location closest to you:

*Attention: Please do not send unencrypted Personal Health Information through email. Provide Personal Health Information via fax or by calling our office.

When calling/faxing to request services, it would be helpful to provide the following:

  • Name of person needing care
  • Address of person needing care
  • Name and telephone number of person making referral
  • Why the referral is being made
  • Primary physician
  • Insurance information

We also welcome your call or email if you’re not yet ready to request services but have any questions you’d like to discuss.