Contact Us

Customer Registration

In order to properly register a potential customer for Paragon Home Resources services, the form below must be completed and submitted by the person making the referral. This will ensure accurate recording of information in accordance with Paragon’s referral agreement. By submitting this form, you represent that the customer has given permission for Paragon to make contact.

Today's Date

Referral Source (if applicable)

Company / Organization

Customer Information

Caregiver / Decision Maker (if applicable)

Special Instructions / Comments

*Required Field

Thank You

Thank you for your submission.

Paragon Home Resources Inc.
Tel. #: 855-474-7227
633 East State Highway 121 South, Suite 530
Coppell, Texas 75019 USA