SPEED REFERRAL
for Cost-Shared In-Home Care
(Wake Independence at Home and Respite)
FAX: 919-872-6683

This form is intended to facilitate the referral process for the In-Home Care Program.
For the cost-share programs, the client must be (1) a resident of Wake County, (2) 18+ years of age, and (3) have personal care needs, NOT just housekeeping/meal preparation.
An Intake specialist, who can be reached by calling 919-713-1556, can assist you if you are unsure whether the client would be a good candidate for this program