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Page 1 of 3COMMUNITY ACCESS REFERRAL FORM for PAC, CBR, and HARP Referral Date attach Brahma or complete details Hospital UR # / / Fax referral to 8345 6529 for the following service:Name: Post Acute
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01
Obtain the necessary forms and paperwork for the post acute care referral.
02
Collect all relevant medical information and records of the patient.
03
Fill out the referral form completely and accurately, providing detailed information about the patient's condition, medical history, and current treatment plan.
04
Include any specific instructions or preferences for the post acute care provider.
05
Submit the completed referral form to the appropriate healthcare facility or healthcare professional for review and processing.

Who needs post acute care referral?

01
Patients who have been discharged from a hospital or healthcare facility and require ongoing medical care and support.
02
Patients who have undergone a surgical procedure and need rehabilitation or therapy services.
03
Patients with chronic medical conditions or complex medical needs who require specialized care.
04
Patients who need additional assistance with activities of daily living, such as bathing, dressing, and medication management.
05
Patients who have been diagnosed with a serious illness or injury and require skilled nursing care or hospice services.
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Post acute care referral is when a patient is recommended to receive additional care after being discharged from a hospital.
Healthcare providers or case managers are typically required to file post acute care referrals.
Post acute care referrals are typically filled out with details about the patient's condition, recommended care, and contact information for the receiving facility.
The purpose of post acute care referral is to ensure that patients receive the necessary follow-up care to aid in their recovery.
Information such as patient demographics, medical history, current condition, recommended care plan, and contact information should be reported on post acute care referrals.
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