healthcare professionals

HNL @Home - Homebound

Only healthcare providers can schedule appointments for medically homebound patients. Please contact your healthcare provider to schedule your appointment.

Schedule an appointment for your medically homebound patients. 

For clients that currently order Homebound services through Epic (or another EMR system), the online form serves as an additional option, not a replacement.

Please scan/upload the order. Please write “Patient is medically homebound” on the order. Order must have provider signature to be valid.
Duplicate Report to
Please fill in patient billing / insurance information