Contact LifeSource

SC, GA, AL, WI, and FL:
Pattie Watkins
910-777-5473
pattie.watkins@1ssinc.com

NC, OH, KY, and VA:
John Hunsinger
910-622-9359
john.hunsinger@1ssinc.com

Hours of Operation:
Monday - Friday: 8 AM - 5 PM EST

Download Consent:

Click the state that applies to you.

Reminder:
  • We will need a face sheet with demographic and insurance information
  • If applicable a copy of the resident's Legal Guardian Paperwork
  • Referral processing can be handled within a 24-48hr period

Referral Form

Our office is currently closed. Our normal business hours are Monday through Friday, 8 a.m. to 5 p.m. EST; our offices are closed on all major holidays.

Please upload face sheet with demographic and insurance information. If applicable, also include a copy of the resident's Legal Guardian Paperwork.

File format accepted (jpg, jpeg, gif, png, tif, tiff, pdf, doc, docx, xls, xlsx, ppt, pptx)
Maximum file size: 2MB.