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Referrals and Consultations

How to refer a client who needs professional health care at home

Please have the following information available during the initial referral call:

  • Client name and date of birth
  • Client current address and phone number
  • Purpose of the visit (Why are we seeing the client? Client goals?)
  • Type of service(s) needed
  • Physician name, phone and date of last clinic or hospital visit
  • Types of insurances

Follow-up information will be required, including:

  • Identification form: Client name, current address and phone number, date of birth, emergency contact/caregiver name and phone number.
  • Insurance information
  • Current medication list and current labs (if available)
  • History and physical/medical summary and discharge summary statement (if available)
  • Other information about the client's specific medical needs, treatments, ongoing therapies, wound care instructions, etc.
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    You feel like you’re part of their family. And you are family. You’re with family. And you’re family with everybody you come in contact with in this organization.

    — Gerry

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    I like to be free. And do my own things, and my own thoughts, so with that realization I just reached out and tried to do something to help me. All the things I need, Belvedere will do for me. It makes me very happy.

    — Marva

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    My reward is just knowing that I helped someone take that other step to become independent. That’s the best reward. That’s my only reward.

    — Arkita Frost