Home Care Referral Form - Bora Healthcare 2025

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When a referral is complete, it provides all the information that is required for triage. This starts with patient demographics, referring and family physician information, and the reason for referral.
Specifically, a home health referral should contain: A history and physical. Face-to-face documentation and physician orders. Medication profile. Therapy notes if therapy is ordered.
15 Referral Sources That Will Land Your Home Care Agency More Clients Referral source #1: Past and present clients. Referral source #2: Local doctors offices. Referral source #3: Financial/ estate planning professionals. Referral source #4: Long term care insurance providers. Referral source #5: Facility discharge planners.
Youre considered homebound, or confined to your home Theyll likely certify that youre homebound if: You need the help of a supportive device (cane, walker, wheelchair, etc.) or another person to get out of the house OR your doctor believes your illness could get worse if you leave home.
You can continue to receive home health care for as long as you qualify. However, your plan of care must be recertified every 60 days by your doctor. Your doctor may make changes to the hours you are receiving or other services, depending on whether the level of care you are receiving is still reasonable and necessary.

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A few common ones include: Heart disease or heart failure. In-home services can help clients establish a healthy lifestyle if they have heart disease or have had a heart attack. Stroke. Respiratory diseases like COPD, asthma and emphysema. Cancer. Alzheimers, dementia or confusion.

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