For referring providers and facilities
Refer a Patient to Healix360 Wound Care Specialists
Review & Sign Referral AgreementHealix360 coordinates mobile wound care referrals from physicians, hospital discharge planners, case managers, home health agencies and care facilities. Send the patient face sheet with insurance information, a referral for wound evaluation and treatment, and applicable wound progress notes. Include recent wound photos if available and lawfully shareable.
Explore listed service regions. Confirm the exact address and visit availability with our team.
- 24-hour coordination line
- California
- Secure, separate record transmission
Step 1
Referral checklist
Send these records together for intake review.
- Item 1
Patient face sheet
Include patient demographics, contact information and insurance information.
- Item 2
Referral for wound evaluation and treatment
Include the referring clinician's referral and contact information. The organization agreement does not replace a required clinical order or patient authorization.
- Item 3
Wound care progress notes, when applicable
Send the past 30 days of wound care progress notes if the patient has been under your organization's care for more than 30 days, or has received wound treatment from any provider during the past 30 days.
- Optional
Recent wound photos, if available
Include recent wound photos if available and permitted to be shared. Add the date taken and wound location when known. Photos are optional and do not replace an in-person clinical assessment. Do not delay a referral solely because photos are unavailable.
Wound photos are not uploaded through this website. Send them separately through your organization's approved secure method.
Patient records and wound photos must be submitted separately from the organization agreement. Verify the destination, share only information lawfully disclosed for the referral, and use your organization's approved secure transmission method. Do not assume an ordinary email message is secure. Call our coordination team if you need transmission instructions.
Confirm the destination before sending. Use your organization's approved secure transmission method.
Our team is available 24 hours for coordination inquiries. Visits are scheduled following intake review and depend on clinical needs, location, provider availability and applicable insurance requirements. Referral acceptance, same-day visits and insurance coverage are not guaranteed. This is not an emergency service; call 911 for a medical emergency.
Other ways to start
- Online referral form
Basic referral details only. Records and photos go separately.
- Patient and family intake
- Review & Sign Referral Agreement
For organizations. Does not transmit patient records.
How referral coordination works
- 01
Prepare the referral
Gather the face sheet, wound evaluation and treatment referral, applicable progress notes and any available wound photos.
- 02
Confirm the transmission method
Use an approved secure method to send records to the referral email or fax. Contact our team if you need help confirming the destination.
- 03
Intake and eligibility review
Our coordination team reviews the referral and may request missing records or insurance details. Benefits, authorizations and costs depend on the patient's plan and proposed care.
- 04
Coordinate the next steps
When appropriate, our team helps coordinate with an independent licensed provider. The treating provider determines clinical assessment and treatment; scheduling depends on availability.
Referring regularly? Put the organization agreement in place before or alongside your first referral.
Review & Sign Referral AgreementReferral questions
You Don't Have to Live With a Wound That Won't Heal
Get connected with an experienced wound care specialist today and take the first step toward healing. Most treatments are covered by Medicare Part B.