Completing The Referral Process.

Thank you for taking the first important step to complete a pediatric home care referral at Exceptional Home Care.  When you have completed the online referral form, please click on the submit button at the bottom of the form, and it will be automatically submitted to the Intake Department at Exceptional Home Care.  Click here for the online referral form.

If you would like to complete a hard copy of our referral form, please click here for a PDF file of the referral form.  To open the file and print it, you will need Acrobat Reader, and the free download is here.  When you have completed the hard copy form, please fax to (903) 533-0298 or 903-581-6517.  To send via mail: Intake Department, Exceptional Home Care, 1510 East Grande Boulevard, Tyler, TX  75703.

Guided by a tradition of personal, clinical and technological excellence, our nursing and therapy professionals at Exceptional Home Care look forward to serving the total needs of your children.