Since the vast majority of Burke patients are referred and transferred from acute care hospitals, we have included pertinent information for medical professionals in this section.

If you are a nurse case manager, social worker or discharge planner and would like to refer a patient to the Burke Rehabilitation Hospital, please include the following information with your referral:

• Hospital Face Sheet (with patient's name, address and phone number)
• History and Physical
• Most recent lab work (CBC, Chemistry panel, etc.)
• List of current medications (include pain and anti-coagulation medications)
• PT/OT/Speech Therapy (initial evaluation and most recent notes)
• Weight bearing status
• Height/Weight
• Known allergies
• Previous 3 days of chart notes
• EKG (when available)
• Imaging (CAT scan & MRI reports when available)
• Notes from any consulting physicians
• Patient’s diagnosis
• Potential date of transfer
• Patient’s date of injury or onset /exacerbation of illness
• Patient’s current functional level
• Your contact information
• Insurance provider information.

Where to Send the Referral

You may send your referral to the Burke Screening Department by telephone, facsimile, or email. 

Telephone: (914) 946-0865 or (888)-99-Burke (toll free)
Fax: (914) 597-2888
Email: screening@burke.org

From time to time, patients are admitted to Burke from home.

How to Submit a Referral for In-Patient Admission (for a patient or family member)

Information to Include:

• Patient's name, address and phone number
• Pertinent Medical Records
• Most recent lab work (CBC, Chemistry panel, etc.)
• List of current medications (include pain and anti-coagulation medications)
• PT/OT/Speech Therapy (initial evaluation and most recent notes)
• Weight bearing status
• Height/Weight
• Known allergies
• Previous 3 days of chart notes
• EKG (when available)
• Imaging (CAT scan & MRI reports when available)
• Notes from any consulting physicians
• Patient’s diagnosis
• Potential date of admission
• Patient’s date of injury or onset /exacerbation of illness
• Patient’s current functional level
• Insurance provider information.
  
  Where to Send the Referral
  
  You may send your referral to the Burke Screening Department by telephone, facsimile, or email. 

Telephone: (914) 946-0865 or (888)-99-Burke (toll free)
Fax: (914) 597-2888
Email: screening@burke.org

For additional information about self-referrals, please contact the Screening department and one of our dedicated Registered Nurses will assist you with the process. Please call (914) 597-2519.