AMBULATORY COVID-19 TREATMENT (A.C.T)
Referral

Step 1:

To refer a patient to for ACT Services, we require the following:

  1. BridgeCare ACT referral form (below)

  2. Face sheet (includes patient name, DOB, insurance information, home address, phone number)

  3. Discharge summary or last clinic note

Step 2:
Include your email to receive confirmation we have received and accepted your referral.

Step 3:
BridgeCare support staff will contact the patient and homecare agency within 1 business day of receiving referral and schedule a virtual visit with a BridgeCare physician within first 2 business days.