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Health Care Professionals –

Directions: Email completed forms to Haywood Street Respite at HSRreferral@haywoodstreet.org along with H&P and other pertinent documents. Call respite at 828-301-3782 to confirm that email was received.  Haywood Street staff will evaluate the appropriateness of the referral and will contact you by phone to confirm approval.

A few things to know about us:

  • We are a non-skilled facility; patient must be independent with activities of daily living.
  • The typical length of stay at Haywood Street Respite is 2 weeks.
  • While reservations are not possible, a phone call to explore appropriateness of referral and inquire about openings is welcome. 828-676-6756.
Required Forms to email over to initiate review of a referral –

Haywood Street Respite Referral Form-fillable

Haywood Street Respite Referral Form-Printable

Respite Referral Information and Instructions

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