Our practice is limited to seeing patients in their own homes, or in independent or assisted living facilities in Wake County, NC.

Download the Referral Form below and fax it to us at 919-838-0439.

A referral from a physician, physician’s assistant or nurse practioner is required for SureSteps, Inc. to bill Medicare or other insurance providers for services. The referral may come from a primary care physician’s office or the office of a specialist, such as a neurologist, rheumatologist or orthopedic surgeon.

The order should be faxed to us on our fax line:  919-838-0439. The order may be written on the SureSteps order form or on a generic prescription script. The faxed referral should include a patient demographics page so we will know how to contact the patient.

Referral for Services

In-Home Evaluation, Treatment, and Prevention of Falls