Referral Form
Shirley’s Angels Home Care proudly provides Attendant Care, Homemaker Services, and Structured Family Care to older adults and individuals of all ages with disabilities through Indiana’s Aged and Disabled Waiver program. We are also honored to serve Veterans and have partnered with Anthem, Humana, and UnitedHealthcare to deliver Long-Term Services and Supports (LTSS). For those not receiving waiver funding, we offer flexible private pay options tailored to meet your needs.
Whether you currently receive waiver funding, may be eligible, or are exploring private pay services, we invite you to complete our referral and intake form using the link below. Once submitted, a member of our care coordination team will reach out to discuss how Shirley’s Angels Home Care can best support you or your loved one with personalized, compassionate care.
Your care journey starts here—with a team you can trust.

