Find Your Trusted Nurse Advocate - Join the Waitlist Today Connect a Senior to Nurse-Led Support—At No Extra Cost ShadowNurse helps older adults and their families manage complex care with expert, nurse-led support. Many may qualify for services fully or partially covered by Medicare or other insurance. Here’s how it works: Fill out the quick referral form We’ll check eligibility and explain available services If eligible, they’ll be paired with a ShadowNurse for ongoing support There is no cost to verify, and no obligation to proceed. Referring multiple seniors? Contact us at Hello+Medicare@ShadowNurse.com and we’ll handle it together. Patient Information First Name * Last Name * Phone * Email * Birthday * State * Alabama Alaska American Samoa Arizona Arkansas Armed Forces Africa Armed Forces Americas (except Canada) Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming MBI Number Optional: Your MBI is an 11 character ID. You can find your MBI on your Medicare card, by logging into your MyMedicare.gov account, or by calling the Medicare helpline at 1-800-MEDICARE (1-800-633-4227). Referrer Information If you are referring a patient, please provide your relationship to the patient and some basic contact information. Relationship to Patient * Self Spouse Relative Friend Provider (RN,NP, MD) Allied Health Worker Caregiver Other Referrer Email Referrer First Name Referrer Last Name Referrer Phone Please verify your request. * By submitting this form and signing up for texts, you consent to receive marketing text messages (e.g. promos, cart reminders) from ShadowNurse at the number provided. Consent is not a condition of purchase. Msg & data rates may apply. Msg frequency varies. Unsubscribe at any time by replying STOP. Submit