A Better Way to Care, Give and Serve
NOTE: Incomplete requests will not be processed. Supporting documentation is required and must be submitted with the application. Examples of documentation include eviction/foreclosure notices, past due utilities, police/fire report, invoice of funeral expenses, statements from health care providers or explanations of benefits from insurance indicating applicant’s out-of-pocket medical expenses; the documentation must substantiate the amount of financial assistance being requested. Documentation must be on letterhead or statement of owned party. Email supporting documentation to Emergency@encompasscares.org
Please provide a narrative for the following:
Check one of the following:
Mailing address:
Enhabit CaresAttn: Emergency Relief Fund6688 N Central Expy. Ste 1300Dallas, TX 75206
**Enhabit Cares shall not obtain any information that would constitute "protected health information," as such term is defined in 45 CFR 160.103, from Enhabit Home Health & Hospice, Homecare Homebase, or their wholly owned subsidiary or affiliate or any group health plan sponsored by one of the aforementioned parties.