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The following documents and information are required to make a referral:
A copy of FL2
Medical history and physical assessment
Demographic information on the patient
Patient’s therapy evaluation and progress notes
For ventilator-dependent patients, please provide vent settings and a preliminary assessment.
Fax this information to 336-776-5050.
After receiving the information above, we will complete a clinical and financial evaluation and
contact the case manager regarding a bed offering.
We guarantee 24-hour resident placement providing that the patient meets admissions criteria
and that an appropriate bed is available for the level of care needed.

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Long-Term 0, Short-Term/Rehabilitative 2, Ventilator 0
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