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800-634-5670
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Patient Referral for Pediatric In Home Care
Please have the following information handy prior to calling 

Peritech's Patient Referrals

  • Patient Demographics
  • Physician Information/Orders
  • Insurance Information
  • Referral by Phone

Call 800-634-5670 or 814-375-1040  
Monday-Friday 8:30 AM-5:00 PM

Emergency After Hours Referral Please call 800-634-5670 and leave a message with our answering service to receive a call back as soon as possible.

Click to Download One-page Referral Form


Referral By Fax

Fax to 814-375-1180

Confirm by phone call or automatic email response sent confirming receipt of form?
Emergency After Hours Referral Faxed referrals received after hours are promptly handled the next business day.
Should you need immediate after hours assistance, please call our 24-hour line at 800-634-5670 and leave a message with our answering service to receive a call back as soon as possible.

Click to Download One-page Referral Form


Thank you for your patient referral to our Home Health or Pediatric Private Duty Services.

 Patient Referral for Pediatric In Home Care

 

We serve clients & their families from our:

Dubois Office:

Clearfield
Jefferson
Clarion
Venango
Forest
Elk
Cameron
Centre
Blair
Cambria
Indiana
Armstrong
Butler

  Reading Office:
(Wyomissing)

Berks
Schuylkill
Lehigh
Northampton
Carbon
Bucks
Montgomery
Chester
Lancaster
Lebanon
Dauphin