1.203.773.0838
63 York Street, New Haven, CT 06511

How to Refer a Patient to Project Access

HOW TO REFER A PATIENT TO PROJECT ACCESS

HOW TO REFER A PATIENT TO PROJECT ACCESS?

In order to be eligible, the patient must:

STEP

one

Is Your Patient Eligible?

Eligibility

one

Male or female, 18 years or older with a current urgent medical need that requires specialty care

Eligibility

two

Living in Greater New Haven; Branford, Northford, Woodbridge, East Haven, New Haven, Orange, Guilford, North Haven, Wallingford, Hamden, North Branford or West Haven

Eligibility

three

Eligible patient must have no medical insurance including Medicaid, Medicare, or government benefits, male or female that is 18 years or older.

Eligibility

four

Household income less than or equal to 250% of the Federal Poverty Level (FPL)

STEP

two

Refer Your Patient

HOW TO REFER A PATIENT?

Requirement

one

Project Access New Haven referrals must be made by a healthcare provider

Requirement

two

Referrals may be submitted by fax using the PA-NH Referral Form or other referral template
OR electronically through Epic (the Yale New Haven Hospital electronic medical record)

Requirement

three

Referrals MUST include relevant past medical history (e.g., imaging, labs, treatment)

STEP

three

Please Complete the Patient Referral Form and Fax to (203) 773-9711

PATIENT REFERRAL FORM

SPECIALIST RETURN FORM

BENEFITS FOR PHYSICIANS

  • Volunteers can determine their level of commitment by selecting the number of PA-NH patients they are able to see
  • Patient care is coordinated and administrative “hassles” are eliminated
  • Patients have a high show-rate for appointments (96%)
  • Ancillary services (e.g., diagnostics, inpatient procedures) are available and coordinated by PA-NH
  • Ability to help those most in need in our community

With the Support of Sponsors and Community Partners:

PA-NH provides donated medical services to patients of limited insurance status. Patient Navigators assist patients with appointments and navigation of the health care system. Barriers to access are addressed so that physicians can focus on delivering the highest quality care.

CONTACT US TODAY
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