Sample Letters

If you have problems getting local hospitals to include your agency in their discharge materials here's a sample letter:

Dear Sirs;

We respectfully request that our Home Health Agency,  [insert NAME], be added to your list of agencies to whom you refer patients and to be listed on all Discharge Planning documents utilized by your hospital. This is pursuant to Section 4321 of the Balanced Budget Act of 1997. 


[Agency name] provides the following services: 

____ Skilled Nursing

____ Physical Therapy

____ Occupational Therapy

____ Speech Therapy 

____ Home Health Aides 

____ Medical Social Work 

Our service area consist of the following [counties or geographic location] 





We are Medicare Certified and [JCAHO, CHAP] accredited, and have been serving this region for [how long].

Private Duty [or other] services are also available from [our sister organization, Name].

If at any time you need additional information, please contact _________________________ at ____-_______.

Thank you.

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