St. Louis + Metro East
Wound care, primary care, and limb preservation.
Gateway provides mobile wound care, primary-care support, and post-discharge follow-up for people healing at home, in facilities, or between care settings. We help families and care teams stay connected around what happens next.
Send a referralFor physicians, facilities, hospitals, and care teamsRequest careFor loved ones, caregivers, and the person receiving care
For urgent or life-threatening symptoms, call 911.
How to reach Gateway
Tell us what is happening.
Whether you are caring for someone, sending a referral, planning discharge, or coordinating home health, choose the path that fits. Gateway will review it and respond clearly.
For loved ones and caregivers
Ask for help with a wound.
Tell us what you are seeing, where the person is, and the best way to reach you. You do not need medical terms or records to ask for help.
- What you are seeing
- Where the person is now
- How Gateway can reach you
For physicians, facilities, and care teams
Send a referral.
For discharge planners, social workers, home health teams, facilities, physicians, and clinicians who need wound-care follow-up reviewed quickly and clearly.
- Referring organization and direct contact
- Care setting, urgency, and wound concern
- Follow-up communication after review
After discharge or a setting change
Wound care should not get lost between settings.
Gateway helps people receiving care, caregivers, and care teams stay oriented when care moves between hospital, home, facility, home health, and community providers.
Wound evaluation
Review the wound, current setting, risk factors, and urgency so the next step is clear.
Discharge follow-up
Support follow-up after hospital, rehab, skilled nursing facility, or surgery.
Facility support
Support skilled nursing, assisted living, rehabilitation, and post-acute teams with a dependable wound-care path.
Communication back
Keep the person receiving care, caregivers, and care partners aligned on what happens next.
How Gateway helps
Mobile wound care, primary-care support, and facility follow-up across the region.
Mobile wound care
Wound assessment, treatment planning, monitoring, and escalation in home and facility settings when clinically appropriate.
Explore wound careDischarge follow-up
Follow-up after hospital, rehab, skilled nursing facility, surgery, or other transitions when wound care needs a clear next step.
Discharge supportFacility wound rounds
Recurring or targeted wound review for skilled nursing, assisted living, rehab, and post-acute teams.
Facility supportHome health coordination
Wound-focused review, communication, and escalation support for home health teams.
Home health support
Counties shown on the map
Counties where Gateway visits homes and facilities.
St. Louis CitySt. Louis CountySt. Charles CountyJefferson CountyFranklin CountySt. Clair CountyMadison CountyMonroe CountyClinton CountyJersey County
Common questions
A few quick answers.
People receiving care and caregivers
Who should use the request care form?
People receiving care, relatives, caregivers, and anyone helping a person with a wound concern or follow-up need should use Request care.
Where does Gateway coordinate care?
Gateway helps with requests across St. Louis, St. Louis County, nearby Missouri communities, and Metro East Illinois.
Referral and privacy
Who should use the referral form?
Hospitals, physicians, discharge planners, social workers, facility teams, home health agencies, and other care teams should use Send a referral.
What information should I share first?
Share the city or ZIP, current care setting, wound concern, and best contact person. Gateway will let you know what else is needed.
Getting started
Do I need a physician referral?
Not always. A family member or caregiver can request care, and physicians, facilities, hospitals, home health agencies, and care teams can submit a referral. Gateway will review the information and explain the next appropriate step.
How quickly will someone contact me?
Gateway reviews incoming requests during business hours and follows up as soon as the request can be reviewed. If something feels urgent or you see signs of serious infection, call 314-325-0126. For a medical emergency, call 911.
What insurance plans do you accept?
Insurance participation can depend on the care need, location, and service requested. Share the insurance type in the request form, and Gateway will review it as part of the follow-up.
Contact Gateway
Questions about wound care or follow-up?
Tell us where the person is, what is happening, and the best way to reach you.