Adult Family Care Online Referrals

Along with calling or faxing in a referral, you now have the option of making secure online referrals from our website by clicking on Make a Referral.

Senior Couple

To make a referral, you will need the following information.

Person needing care (client, consumer, or participant)
Name, address, phone number, MassHealth ID or Social Security number, their medical diagnosis, activities of daily living they need help with and an emergency contact, who lives in the home.

Caregiver (if there’s already one)
Name, address, phone number and whether they are the legal guardian.