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 Making a Referral:

To make a referral, please call our Central Referral Line at (781) 391.2016 and ask for Ms. Lynn Reardon, Referral Coordinator. Or, you may fax it to Lynn at (781) 391.6543. Please be aware that HIPPA regulations prohibit us from receiving any confidential patient information via e-mail. Please refer to the attached Intake Form to assist in gathering the information that will be needed to process the referral. The following is required: Client name, address, telephone number, date of birth; your name and telephone number and relationship to the individual being referred; diagnosis and relevant history; reason for the referral; primary care physician and prescribing physician name and phone number; insurance information including name of insurer, identification number, and telephone number.

If the individual is currently in a hospital or skilled nursing facility, arrangements may be made for one of our staff to go out and perform a pre-admission screening. If the individual is at home, copies of medical records relevant to the situation related to the current referral will be requested. Please note the attached Authorization to Release Medical Information that may be downloaded and completed in order to obtain records.

Once the individual case has been screened, either in person or by record review, it will be determined if CRC would be an appropriate treatment resource. The insurance benefits for treatment will be reviewed with the client and/or family. The individual/family or, the referring facility, will need to initiate referrals/authorization as needed, as well as obtaining physician orders for treatment. Once all of this has been obtained, appointments for initial evaluations will be scheduled with the client and his/her family. Should the individual and family wish, they may set up a time for a visit/tour to the CRC clinic in advance.

Intake Form
Authorization to Release Medical Information



Newton
305 Centre Street
Newton, MA 02458-1719
Telephone 617.244.8480
Fax 617.244.8312
Newcrc@brain-injury-rehab.com

Medford
84 High Street, Box 16
Medford, MA 02155-3844
Telephone 781.391.0303
Fax 781.391.9922
Medcrc@brain-injury-rehab.com

Quincy
70 Quincy Avenue
Quincy, MA 02169
Telephone 617.786.8811
Fax 617.786.8877
Quincrc@brain-injury-rehab.com

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