Refer a patient Thank you for considering the Cantex Continuing Care Network Start by filling out and submitting this form. We will connect with you within 24 hours using the contact methods you provide. Skilled Nursing Facility - Refer a patient "*" indicates required fields Type of careSelect type of care needed:*Skilled nursingRehabilitationHome health careHospiceInformation about the patientFull Name* First Name* Last Name* Patient location (city)Physician requesting referralFull Name* First Name* Last Name* Email address* Phone number*Phone type Mobile Home phone Work phone Preferred Contact Method Email Phone Text Preferred Contact Method Email Phone Diagnosis or clinical findings for referralSchedule a Tour