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Spring/Summer 2008 Newsletter

2008 Golf Outing

Chaplain's Corner

Testimonials

"When my mother had come to the end of her good health God sent angels to help her. They nursed her, washed her, looked after all her needs. They made her laugh and put a smile on her face every time they arrived. She loved them all, and they loved her. I loved them also, and I'll never forget all they did for us. God Bless them all."
- Son of a VNA Hospice Patient -

More

Referrals - Overview

Anyone can make a referral.  A friend, a neighbor, or you can even refer yourself.  If you believe someone you know might benefit from VNA services, please call us.  We will evaluate the situation and contact the physician for orders. 

Referral Form in Adobe Acrobat format

Items need for a referral

  • Patient’s name
  • Patient’s address
  • Patient’s phone number
  • Patient’s Social Security Number
  • Patient’s Birth date
  • Patient’s allergies if any
  • Medications
  • Diagnosis - if known
  • Admission & Discharge Dates
  • Type of Insurance(s)
    • Insurance Number
    • Group Number
    • Address of private insurance
  • Next of Kin Name and contact information
  • Primary Physician

Please call or fax referrals to Clarion Forest VNA, Inc. at:

  • PH: (814) 797-1995
  • PH: (800) 262-2118
  • FAX: (814) 797-0077

The agency must have a physician’s order to provide care to a patient.  A patient will then be admitted for service with a physician’s order only if the VNA has the ability to provide safe, professional care at the level of intensity needed.

Referral Form in Adobe Acrobat format

Note: We suggest right clicking the link and selecting "Save Target As ... ' to download the document to your hard drive. The download goes much quicker and allows you to continue browsing while waiting.