For healthcare professionals
Adult Day Health Care (CBAS) keeps your patients engaged, monitored and out of the emergency room. Referring takes a few minutes.
Who we serve
- Adults 18 and older with Medi-Cal, including dual-eligible members
- Chronic conditions needing monitoring: diabetes, heart failure, COPD, hypertension
- Dementia and other cognitive impairment
- Post-hospital and post-rehab recovery
- Serious mental illness with need for structure and socialization
- Isolated older adults at risk of decline
What to include
- Patient name, date of birth and phone
- Health plan and member ID
- Primary diagnoses and relevant history
- Caregiver name, relationship and phone
- Preferred language
- Your name, role, phone and fax
How to refer
We contact the caregiver and confirm receipt with you within one business day. The health plan's assessment typically follows within a few weeks.
Online
Use the referral form below. It reaches our intake team immediately.
By fax
Fax the referral sheet to (818) 570-7733. Print it from the link below.
By phone
Call (818) 570-7771 and ask for intake.
Online referral
This form is for professional referrals. Please do not attach clinical documents here; fax them or send them through your secure channel.