Request care
Request wound-care help for yourself or someone you care about.
Use this form when a wound is not healing, transportation is hard, discharge follow-up is unclear, or you need Gateway to review the right next step.
GatewayWound Care
Referral desk
Request care or refer a patient.
Share where the patient is, what kind of wound it is, and who is coordinating care. Gateway routes the next step across homes, facilities, and referral partners.
Request Care
Start with the basics.
This path is for patients, families, and caregivers. Facility teams, social workers, discharge planners, home health agencies, and physician offices should use the referral form instead.
Public form notice
Use this form to start the conversation. Do not send Social Security numbers, photographs, full medical records, insurance cards, or detailed clinical documents through this public form. Gateway will follow up and move clinical information through the proper secure channel. Fax is available at 314-786-7966. If this is a medical emergency, call 911.