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Get In Touch

How can we help you?

Whether you're a family navigating care options, a physician submitting a referral, or a facility looking for coordination support. Reach us through the form that fits your need.

We respond to all inquiries within one business day. For urgent care needs, please call us directly.

Phone
(909) 206-4228
Mon–Fri, 8am–6pm PT
Email
info@ohanaseniorcare.com
Replies within 1 business day
Service Area
Southern California
LA · Orange · Riverside · San Bernardino
Hours
Mon – Fri, 8am – 6pm
Pacific Time · After-hours by arrangement

Privacy notice: Do not submit sensitive protected health information (PHI) such as full medical records, diagnoses, or insurance account numbers through this form. For secure transmission of clinical documents, contact us by phone. See our Privacy Policy for details on how we handle submitted information.

General Contact

Questions about our services, service area, or how care coordination works? Send us a message and we'll get back to you within one business day.

Please keep messages general. Do not include full medical records or PHI.
Please check this box before submitting.

We typically respond within 1 business day. For urgent needs, call (909) 206-4228.

Care Request / Intake Form

Use this form to request care coordination for yourself or a loved one. A member of our team will follow up within one business day to discuss care options and next steps.

First and last name only. No medical record numbers needed at this stage.
We serve Los Angeles, Orange, Riverside, and San Bernardino counties.
Do not include diagnoses, insurance ID numbers, or full medical history in this field.
Do not include member ID, policy numbers, or other account details. This helps us coordinate the right service partner.
Please check this box before submitting.

Submitting this form does not initiate services or constitute a clinical intake. A care coordinator will contact you to discuss options. For immediate needs, call (909) 206-4228.

Professional Referral

For physicians, discharge planners, social workers, and other licensed professionals referring patients to Ohana's coordination network. Use patient initials or a reference ID; do not include full names in this field.

Do not enter full patient names. Use initials or an internal case reference ID.
For life-threatening emergencies, call 911. For 24-hour urgent coordination, call (909) 206-4228. Please select an urgency level.
This form is not HIPAA-secured. For transmission of full clinical documents, please contact us by phone or via your existing secure channel.
Please check this box before submitting.

Ohana Senior Care Agency does not pay or receive compensation for patient referrals in violation of applicable state or federal law, including the Stark Law and Anti-Kickback Statute.

We take every inquiry seriously.

Care coordination starts with a conversation. Here's what happens after you reach out.

We receive your message

Every submission goes directly to a care coordinator, not a call center or automated queue. Someone reads it.

We follow up within 1 business day

A coordinator will call or email to learn more about your situation and explain what coordination options are available.

We match you to the right resource

Whether through Ohana directly or a vetted network partner, we identify the best fit, and stay involved through the handoff.

Prefer to talk to someone?

Our care coordinators are available Monday through Friday, 8am to 6pm Pacific. No scripts. No transfers. A real conversation.

(909) 206-4228 Email Us