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    • Home
    • About
    • Our Services
    • Referral Hub
    • Join Our Team
    • Community Resources
    • Contact
  • Home
  • About
  • Our Services
  • Referral Hub
  • Join Our Team
  • Community Resources
  • Contact

About Community Thread Health

Hospital Patient Referral

Independent Patient Service Request

Hospital Patient Referral

 Refer patients at discharge who are high-risk for readmission or struggling with chronic conditions. We provide in-home medical visits, telehealth follow-ups, medication reconciliation, and social support within 24–48 hours of discharge. 

EMS Partner Consult

Independent Patient Service Request

Hospital Patient Referral

 Request a field follow-up for patients who were evaluated but not transported. We offer protocol-based care, telehealth NP oversight, and avoid unnecessary repeat 911 calls—keeping your units available for emergencies. 

Social Work/Public Health Referral

Independent Patient Service Request

Independent Patient Service Request

 Connect patients facing barriers such as food insecurity, unstable housing, lack of follow-up care, or mental health needs. Our team provides in-home support, health screenings, and warm handoffs to local resources. 

Independent Patient Service Request

Independent Patient Service Request

Independent Patient Service Request

 Patients, caregivers, or family members can request in-home medical visits directly. We offer compassionate, same-day or next-day care for non-emergency needs—no referral required. 


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