Referral Form: Personal Care Assistance (PCA)

Helping people with activities of daily living, in their homes and communities.

Referral Forms

Global Health Link partners with referring professionals such as case managers, social workers, and care coordinators. Please feel free to use these forms to simplify referrals. You can also reach us by phone or fax.

Phone: (651) 374-1620
Fax: (612) 333-0308

When seniors and other adults need help at home, Medical Assistance (Minnesota Medicaid) pays Global Health Link to send our highly qualified personal care aides. Personal care aides provide assistance with ADLs such as meal preparation, household chores, medication reminders, bathing, dressing, grooming, and toileting.

Referral Form:
Personal Care Assistance (PCA)

Referral Source Information

Client Information

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