A diverse group of five healthcare professionals, smiling and wearing scrubs and lab coats, stands closely together outside a modern building. With stethoscopes around their necks, they appear ready for a day focused on pulmonary rehab, showcasing their commitment to patient care.

Refer A Patient

Help Patients Breathe Easier – Refer a patient to our pulmonary rehabilitation program and connect them with the care and support they need to improve their quality of life.

Online Patient Referral

The Patient Referral Form is designed to help you seamlessly refer your patients who could benefit from pulmonary rehabilitation with Home Rehab Network.

Our specialized program provides personalized telehealth services to support your patients recovering from surgery, managing chronic pulmonary conditions, or improving their overall lung health.

By completing this form, you ensure your patients gain access to expert care, comprehensive therapy, and resources tailored to their unique needs. Partner with us to help your patients achieve better breathing and a higher quality of life.


FAX Patient Referral

Download the faxable form by clicking the button below.

A green printer icon with a stylized paper sheet featuring lines evokes a sense of precision, much like the structured routines in pulmonary rehab, symbolizing efficiency and support in printer-related functionality.

Fax Number

(410) 871-4022

New Patient Referral

Refer your patients to Home Rehab Network and provide them with expert-guided pulmonary rehabilitation from the comfort of their homes.

Download Faxable Form

Existing Referral Extension

Extend your patient’s current referral to ensure continued access to expert-guided pulmonary rehabilitation and ongoing recovery support based on medical necessity.

Download Faxable Form