Make a Referral

Central New Hampshire VNA & Hospice is Your Trusted Partner for Patient Care.

You can simply call in a referral to our office and speak with an intake representative by dialing 603-524-8444.

Or, you can use our online referral service:
Using the appropriate link below, physicians can download the referral form and fax it to our intake department at 603-527-1821. Self-referring patients can fill out our online form and submit. Referrals accepted 24/7. 

Ask for us by name, not all VNAs are the same!

Physician Referral

Download this referral form and fax it to our intake department at 603-527-1821.

Patient Self-Referral

Please fill out this form our intake coordinator will contact you.

Laconia: (603) 524.8444  |  Wolfeboro: (603) 569.2729

Laconia: (603) 524.8444  |  Wolfeboro: (603) 569.2729

Make a Referral