Making a Referral

If you have any questions regarding your referral, please contact us at (513) 621-1868.

Admission Guidelines

Client must…

• Be experiencing homelessness
• Have an acute diagnosis or exacerbation of a chronic diagnosis
• Be ambulatory and able to navigate 3 flights of steps
• Be Independent in ADL’s
• Be continent (or able to manage their incontinence)
• Be 18 years or older
• Not be a registered sex offender

Documentation Needed for Referral

Please fax the following information to (513) 621-1872, along with a cover sheet with the location of the referring hospital and the name and number of who best to contact.

• Face Sheet with demographics
• History & Physical
• MD Progress Notes
• Current Medication List
• Recent Labs
• Chest X-Ray (if they have one)
• Signed Participation Requirements (see below)
• PT/OT Report (if applicable)
• Mental Health Evaluation (if applicable)
• List of All Medications & Needed Supplies

If you are referring from an ER or from an outpatient facility, please make sure the participant has:

• Seven days’ supply of all medication and needed supplies
• The ability to have prescriptions written for medications OR contact information for a provider who can write prescriptions for them

Client Requirements Download

• CRC Client Requirements English
• CRC Client Requirements English Larger Text (LT)
• CRC Client Requirements Spanish
• CRC Client Requirements Spanish LT
• CRC Client Requirements French
• CRC Client Requirements French LT