Bernice's Room Care Homes

Personal Care Homes Providing Specialized Care

At Bernice's Room Care Homes, we tailor our services to meet the unique needs and preferences of each client.
By fostering a familiar and supportive environment, Bernice's Room Care Homes enables individuals
to maintain their dignity and autonomy while receiving the assistance they require.

Submit the below Referral Form for new patients

* Indicates required field

Client Name *

First

Last

Choose One *

Male Female

Age *

Is Client enrolled in HH / Hospice? *

Yes No

If yes, please name Hospice Agency *

Referring Person *

First

Last

Referring Agency *

Phone Number *

Email *

Submit

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