Home Health Care Organizations' Application

Please download the PDF version linked below.
To fax your completed application, please send to our toll-free fax number: 800.700.0126

El Dorado Home Health Care Application

 

Texas: 800.221.3386 • 713.521.9251 • Fax 800.700.0126 • 713.521.0125 • 3673 Westcenter Dr. • Houston, Texas 77042
California: 800.221.3386 • 661.393.4710 • Fax: 800.700.0126 • 661.393.4771
2809 Unicorn Road, Ste 102 • Bakersfield, CA 93308
Doing business in California under License #OE59720, dba El Dorado Security Services Insurance Agency.