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Provider Service Agreement: Start the Referral Process
You are in the right place if you represent:
A Hospice
A Home Health Agency
A Physician’s Office or Group
A Skilled Nursing Facility, LTAC, or Subacute Unit
Any other medical facility that needs ongoing wound care support
This page is for provider and facility representatives who want to set up a formal service agreement with Vertex Wound Specialists Nursing Corporation. Once in place, this agreement will let your team refer patients quickly and consistently for our mobile wound care services.
How it Works:
1
Complete the form below with
your contact details, facility
information, and service needs.
2
After you submit, a Service
Agreement will be emailed to you.
3
You review the agreement, route it
for signature, and return it to us.
4
Our team contacts you to schedule
an onboarding call and confirm
referral workflow.
If you are a provider or facility representative, please use the form below to begin the agreement process
Let’s work together.
Interested in referring a patient? Fill out some info and we will be in touch shortly! We can't wait to hear from you!
If you are looking for a wound care clinician role. Visit this link

