━━ Request Care
Request Care from Project Health
Use this form to contact Project Health about home health care, therapy services, fall prevention, or support for yourself or a loved one.
Medicare-certified. CHAP-accredited. Licensed in Virginia.
- Medicare-certified
- CHAP-accredited
- Licensed in Virginia
- Serving Northern Virginia
- Multilingual & culturally sensitive care
Use This Form If You Need Help With
- Care at home after illness, surgery, or hospitalization
- Skilled nursing or therapy services
- Physical therapy as part of home health care
- Fall prevention or balance concerns
- Support for a parent, spouse, or loved one
- Questions about Traditional Medicare Part A next steps
For emergencies, call 911. Do not use this form for urgent or emergency medical needs.
━━ Care Request Form
Please share basic information so Project Health can understand your needs and contact you about the next step.
Please note: Do not include detailed sensitive medical information in this form. This form is not for emergencies. If this is a medical emergency, call 911.
━━ Next Step
What Happens After You Submit?
After you submit your care request, Project Health will review the basic information and help guide the next step.
Project Health receives your request
Our team reviews the basic information you submitted.
We contact you about the next step
A team member may call or email to better understand the patient’s needs.
Medicare and care requirements may be reviewed
Eligibility, documentation, and physician order requirements may apply.
Care may begin when requirements are met
If appropriate and requirements are met, services can be coordinated at home.