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 that you, as a professional, are undertaking on behalf of your client. If you are unsure of eligibility requirements, call RFS at 919-872-7933 to speak to an Intake Specialist. We cannot screen your clients through this form!

For the cost-share programs, your client must be a resident of Wake County, 18+ years of age, and have personal care needs, NOT just housekeeping/meal prep. An Intake specialist, at the above number, can assist you in screening your client if you are unsure whether yours would be an appropriate referral.