
REFERRALS
REFERRAL CHECK LIST
Help Your Patients Heal Faster—Together, We Make Recovery Stronger
By referring patients in need of wound care services to Rapid Community Health Care, we can collaborate to provide high-quality treatment and improved healing outcomes—delivered directly to where the patient resides.
✅ Required Documentation
To begin processing the referral, please submit the following:
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Face Sheet / Patient Demographics
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Signed Physician / PA / NP Order for Wound Care
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Insurance Information
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(Optional) Family Member Contact Info — for scheduling coordination
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📁 Other Helpful Documentation
These additional documents help us assess and treat the patient more quickly and effectively:
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Wound Photos (if available)
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History & Physical (H&P)
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Recent Progress Notes
For Surgical Wounds Created Within the Last 90 Days:
A surgeon’s order is required to approve Rapid Community Health Care to evaluate and treat, due to the 90-day global surgical period.
Thank you for partnering with us to provide exceptional wound care.
We’re committed to seamless communication, timely treatment, and better outcomes for your patients.


