For hospitalists, discharge planners, and primary care offices.

You have a patient who shouldn't be driving to follow-up, and a discharge that needs somewhere to land. We take that.

Three clinicians with medical bags beside a car between home visits

Two ways to send one.

Call and talk it through

Intake picks up during office hours and can take the whole referral verbally.

(872) 260-0204

Use the secure form

The contact form reaches the same intake queue, outside office hours included.

Go to the form

What happens next: we contact the patient within one business day. First visit typically within three days of discharge. You get a note back after that visit, and after every visit if you want them.

What we’re good for.

And what we’re not: urgent care, a hospital-at-home program, or a replacement for home health nursing, though we order it and work alongside it. HIPAA-compliant intake, with BAAs available on request.

Patients readmitting repeatedly for the same thing
Discharges to home with no reliable follow-up
Patients who've stopped showing up to your office and you don't know why
Complex patients whose care is spread across four specialists and coordinated by none

Common questions

Referral questions

What referring teams usually ask first.

Demographics, insurance, the discharge summary and a medication list. A face sheet covers most of it. If something is missing we chase it rather than bouncing the referral back.

We reach the patient or family within one business day of receiving the referral, and a discharge referral gets the first visit within 48 hours.

After the first visit, always. After every visit if you want them. Tell intake your preference when you send the referral.

Still unsure? Call (872) 260-0204 and describe an average morning.

Send one now

A discharge that needs somewhere to land?

Call or send the form and intake takes it from there. You will hear back after the first visit.

Refer a Patient

Or call (872) 260-0204