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CalAIM In-Network Medical Respite Provider

Contact Us & Secure Referral Portal

Submit encrypted post-acute recuperative care referrals with rapid 2-hour clinical triage, or connect with our administrative and family coordination team.

24/7 Clinical Triage Hotline

(800) 555-4554

Live Nurse Available 24/7

Encrypted Intake Fax

(800) 555-3291

Dedicated HIPAA Records Line

Secure Referral Email

referrals@ijlhomes.org

Encrypted Clinical Inbox

6-Bed Sanctuary Location

742 Respite Care Way

Los Angeles, CA 90012

Step 1 of 7:Patient Info
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Patient / Client Demographics

Enter the legal identification and current inpatient location of the individual being referred.

Must be 18+ for adult respite

Medical Record Number for EHR reconciliation

Used for Medi-Cal / CalAIM Community Supports identity verification

Emergency Contact & Next of Kin