What we do
Medical Care That Follows You Home
Leaving the hospital is an important transition. Patients and families may suddenly have new medications, follow-up appointments and questions about what comes next. We help connect the pieces.
Depending on the patient's needs, our care may include:
Transitional care visits after discharge
In-person and virtual visits
Remote patient monitoring
24/7 RN visits
Mental health management
Wound care
Labs and imaging at home
Specialty referral coordination
Six ways we help
Our Services
How it works
From Hospital Discharge to Home
01
Referral
A hospital, facility, physician or family member contacts our office.
02
Home Visit
A clinician visits to review medications, symptoms and next steps.
03
Ongoing Support
Follow-up visits, telehealth and monitoring, depending on your needs.
04
Coordination
We keep your primary care physician and specialists informed.
If you are experiencing a medical emergency, call 911 or go to the nearest emergency room.
Not Sure What You Need?
Call our office and we will help you find the right level of care.