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Private-Pay · RN-Owned
New Referral

A nurse owner personally responds to every referral within one business day, often within the hour.

No physician's orders, insurance approvals, or prior authorizations required.

Call or Text
(702) 843-7402

Fastest for an urgent discharge

Secure Fax
(702) 552-5397

Fax a completed referral form

Downloadable Form
Download PDF

Fax a completed referral form

Or send a referral securely below

Complete the fields below and we will reach out directly. Please share only what is needed for us to make contact and determine fit.

Who Needs Care?

Multi-line address

Family Contact / Decision-Maker

Support Needed

Multi choice

Situation & Urgency

Urgency

Referring Source

For privacy, this form is submitted securely. Please share only the minimum information needed for us to make contact and determine fit. Do not email patient health information to us. Use this secure form, our fax line, or a phone call.

Apex Home Nursing Services
Premium private-pay home care, led by registered nurses · Summerlin · Henderson · Las Vegas
Call/Text: (702) 843-7402 · Fax: (702) 552-5397 · apexhomenursing.com

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