For First Responders Assisting Seniors

Concierge Care Advisors is committed to delivering the highest level of senior care and transition services. We are proud to partner with physician practices, health systems and emergency responders to ensure our seniors receive the most appropriate care.

We understand that identifying the right care and transitions can be complicated and time-consuming. That’s why we’ve created our fast, easy, and HIPAA-compliant Referral Form. Simply complete basic information online, via email, or fax and we’ll take it from there. In fact, we commit to reaching out to your patient or their family within one hour.

We will then consult with the designated contact and provide an intake and assessment. We then assign one of our Certified Care Advisors to assist the patient–and follow up with your point of contact in 30-days ensuring there are no gaps in the senior’s care and transition.

Get started by completing the form below. If you prefer, you can download a fillable PDF and return it by email to or by secure fax at +1 (866) 992-9257.

Quick Reference Guide