Compassion Global Care · Request Care & Referrals

Request care for yourself or someone you love.

Tell us a little about what you need and our team will call you to arrange a free in-home consultation with our registered nurse. Hospitals, physicians and case managers can refer clients here too.

Free in-home nurse consultationPersonal plan of careBackground-checked, trained caregiversWe respond within one business day
Opening soon. Compassion Global Care is preparing to open and is not yet licensed or serving clients. Its Georgia private home care license application is in preparation, and care can begin only after the Georgia Department of Community Health issues the license. You can send a request or referral now: we will contact you, answer your questions and place you on our opening list, and we will schedule your in-home consultation and admission as soon as we are licensed.
In an emergency, call 911. This form is not monitored around the clock. To report suspected abuse, neglect or exploitation of an older adult or a person with a disability in Georgia, call Adult Protective Services at 1-866-552-4464 (option 3).
What happens next

From your first call to your first visit

  1. We call youWithin one business day of your request, to understand your needs and answer questions.
  2. Free in-home consultationOur registered nurse visits to assess needs, routines, safety and preferences.
  3. Your plan of careWe write a personal care plan with you and your family, and explain rates in writing.
  4. AgreementYou review and sign the service agreement and your rights. Nothing starts without your consent.
  5. MatchingWe match a trained caregiver to your needs, schedule and personality, with a backup caregiver.
  6. Care beginsWith regular nurse supervision and updates to you and your family.

Care begins only after Compassion Global Care is licensed. Payment at opening: private pay and long-term care insurance; other programs are planned. You are always free to choose any provider.

Care request form

Request care

About 5 minutes. Fields marked * are required. Please share only what we need to reach you and schedule a visit. Do not include Social Security, Medicare, Medicaid or insurance numbers, or medical records; our nurse will gather health details in person.

1 About you
Who needs care?
Best way to reach you
Best time to reach you
2 About the person who needs care
3 Where care is needed
County
Age of the person needing care
Lives

We serve Gwinnett, Barrow and Walton counties, southern Hall County and western and central Jackson County. If you are just outside this area, send your request anyway.

4 Services you are interested in
Help needed (tick any that apply)
5 Schedule and payment
When would you like care to start?
About how much help?
How do you expect to pay? (tick any)
6 Your in-home consultation
Preferred time
Second choice time
Who will be at the consultation?

Consultations and nurse assessments are free. We confirm the date and time with you by phone and schedule them once we are licensed.

7 Consent

This request is not a service agreement and does not guarantee services. Information you send is kept confidential by Compassion Global Care and used only to respond to your request. See our privacy note.

Sent securely to Compassion Global Care’s intake team.

For hospitals, physicians and case managers

Refer a client

Discharge planners, physicians, social workers, case managers and community partners can refer clients for companion, personal care and nursing services at home. We contact the client or representative within one business day and keep you informed, with the client’s permission.

No records herePlease don’t upload or type medical records, diagnoses lists or ID numbers. Once we reach you, we arrange secure transfer of any orders or records needed.
Client choiceClients are always free to choose any provider. Compassion Global Care does not pay or accept referral fees.
Before licensingReferrals received before we are licensed go on our opening list; we will tell you if we cannot meet a start date.
1 Referring professional
Organization type
Best way to reach you
2 Client
Age range
County
Client is currently
3 Referral details
Reason for referral (tick any)
How soon is care needed?
Expected payer (tick any)
4 Confirmation

Sent securely to Compassion Global Care’s referral intake team.

Privacy

How we protect your information

Requests and referrals go only to Compassion Global Care’s intake team, in a private, access-controlled system protected under a HIPAA business associate agreement with our email and storage provider. They are seen only by Compassion Global Care’s care team, are not shared with anyone else without permission, and are used only to respond, schedule your consultation and, if you choose our services, start your client record. We collect health details in person, not online. Questions: [email protected].