Caregiver Referral Program
Refer a friend to FreedomCare!
Does the patient live in New York?*
Yes
No
Is your friend the patient?*
Yes
No
Does the patient have Medicaid?*
Yes
No
I don't know
You can only join the CDPAP program if the patient has Medicaid, would you like assistance applying for Medicaid or determining eligibility?*
Yes
No
Please enter your Caregiver Code/Employee ID (code is the same as your app login).
Patient will need Medicaid in order to join the program.
Unfortunately, this program is only for New York residents.
*Marked fields are required fields. We always respect your privacy.
Thank you! Your submission has been received!
The contact you referred already exists in our system. Please call to check if this referral is assigned to you.
There was a problem submitting your request. Please call.