Health Care Professionals –
Directions: Fax completed forms to Haywood Street Respite at 828-348-0933 along with H&P other pertinent documents. Call respite at 828-676-6756 to confirm that fax 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 fax over to initiate review of a referral –
Screening Evaluation Form (to be completed by health care professional)
Respectful Living Covenant (to be reviewed and signed by patient)
- We will respond to referrals within 48 hours. Upon acceptance of referral, patient must arrive to Respite by 2 pm.
- Discharge Instructions must accompany patient to Respite.
- Patients must arrive at Respite with two weeks’ worth of medications according to Discharge Instructions..
- Whenever possible, we will arrange to come pick up the patient. Please call to arrange after referral has been accepted. 828-676-6756.