Making a Neuro-rehabilitation Program Referral

Community Rehab care offers a variety of rehabilitative services in addition to the neuro-rehabilitation program. These include single discipline physical therapy, occupational therapy, speech therapy and case management services.

Making a Neuro-rehabilitation Program Referral

What Are The Criteria For Admission To The Neurorehabilitation Program?

• Individual has a diagnosis of Traumatic Brain Injury and/or other neurologic catastrophic illness (such as a stroke, anoxia, brain tumor, or infectious process.
  

• Individual demonstrates a need for and the potential to benefit from therapeutic intervention and could make functional gains in their home, community, prevocational activities, education/school and leisure time pursuits. Typical goals may address: time management; Memory issues; social/behavioral issues that interfere with effective daily participation in the community; executive functioning issues such as planning, organizing and completing tasks, safety issues , as well as mobility and activities of Daily Living (ADL).
  

•  Individual must not have behavior problems which would be abusive or harmful to other participants, staff or themselves.
  

• Individual does not have current/active substance abuse problems that impairs everyday functioning. If the client does have an person substance problem, he/she must be involved with a mutually acceptable treatment program in conjunction with treatment, (i.e. substance counseling, AA, sober houses, etc.).
  

• Individual demonstrates functional mobility, either as an independent ambulator or with supervision to moderate assistance (exceptions will be made on a case by case basis), or Independent at wheelchair level to moderate assistance required for transfers. Individuals must have sufficient endurance to tolerate participating in treatment for 1-2 hours per day. Individual must be a functional communicator for everyday situations, (i.e. can be non-verbal as long as a communication system is readily functional for community participation). Individual (as well as significant others) must agree to actively participate and follow through with the program goals that are mutually set by the client, significant others and staff.

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

Referrals may be made by phone, fax, mail, or e-mail and should indicate some demographic data and clinical background. Referrals are accepted from physicians, hospital, sub-acute facilities, case managers, community agencies, families, clients or others. A staff member will do a pre-admission assessment screen, either by phone or, by a professional liaison if the client is in a facility, in order to determine if the client is appropriate for a formal evaluation. Our admissions coordinator will need relevant medical records and a physician order to complete this process. Please call our referral line 781-391-2016 for more information.

Making an Occupational , Physical, or Speech Therapy Referral

Please contact the clinic directly where you wish to have Therapy
(not as part of the Neurorehabilitation program)

Making a Case Management Referral

To make a Case Management referral, please call us and clearly state that this is a referral for Case Management Services. We will need some basic information initially including:

Client name, address, phone number, age, funding source and other relevant demographic information. We will then request some history of the client’s injury, and discuss with you the relevant issues, reason for the referral, and expected goals/outcomes of case management services.

• Since case management services are generally not funded by private insurance, financial arrangements will need to be made in advance of client contact 

• SHIP case management referrals must all be pre-approved by SHIP

Community Rehab Care does not discriminate on the basis of race, color, national origin, handicap, or age in admission or access to, or treatment or employment in, its programs or activities.