STNA Classes In Ohio: Looking for Nurse Aid (STNA) Training in Ohio?
1901 E. Dublin Granville Rd., Suite 201, Columbus, Ohio 43229 614-896-6420
We are Medicare and Medicaid certified and also accept the following:
If you would like to send client referrals to Premier Choice Health Services, LLC, kindly use the form below.
* denotes a required field
Your Name *
Your Organization *
Your Tel. No. *
Patient's First Name *
Patient's Last Name *
Patient's Tel. No. *
Contact Person *
Contact Person's Tel. No. *
Patient's Address *
Select One...MEDICAREPUBLIC AIDEPRIVATE INSURANCESELF PAY
Patient's Date of Birth
Patient's Medicare Number
Has the patient ever received home health care service in the past?
Patient lives in a
Select One...House/ApartmentAssisted/Supported LivingSenior HousingGroup HomeRented RoomNone of the Above
Is the patient able to drive a car safely on a regular basis?
Does the patient use any type of assistive device e.g. cane, walker, wheelchair?
Is the patient willing to receive home health services?
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