How to Refer Someone

Physicians, social workers, professionals and anyone else can refer someone to PACE, as long as they ask the potential participant or caregiver for permission to do so. When PACE receives a referral, we reach out to the caregiver or potential participant to provide information and answer questions.

To make a referral to PACE, download the Referral Form below and fax it to 423-495-0156 or email it to

Referral Form

H4402_webrefer_CMSapproved 04.18.2017