The process to enroll yourself, a patient, or a loved one has been designed to be user friendly and involves only a few simple steps.

First and foremost, it should be noted that it is the patient’s / family’s / DPOA’s / guardian’s decision, if they want to receive services from HouseCall MD. The decision CANNOT be made for the patient by the caregiver or homeowner.

The enrollment package needs to be completed in full by the responsible party (i.e. the patient or their guardian).

Step 1:

Download the enrollment package and fill it out completely.  Please complete all fields, including secondary insurance information.  If there is no secondary, we need the name of the responsible party with their address and phone number. This information goes in the “Additional Contact/Responsible Party/Emergency Contact Information” section on page 2 of your enrollment package.

Step 2:

Make a copy of the current medication list, as well as copies of any applicable insurance cards, Medicare cards, and/or medical coupons.

Step 3:

Fax the completed enrollment package AND the required medication list, insurance cards, and or medical coupons to fax # (888) 274-6607.

What’s next?  Someone from HouseCall MD will contact you within 48 hours to confirm the reception of your enrollment package.

Please note:

Patients are scheduled based on medical urgency. It may be possible to see them sooner if the provider’s schedule permits. If the patient is otherwise stable, they may be scheduled out a bit further. If the reason for seeing the patient urgently is to refill medications, once they are on service, HouseCall MD providers can refill medications prior to actually seeing the patient. Please give us as much time as possible to complete our process before scheduling.