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Secure Portal HIPAA Compliant Interface

Secure Hospital Placement Portal

WA State Care Transition Network

A streamlined, single-screen referral for hospital case managers and social workers operating under acute discharge timelines.

Our RN-led clinical placement pipeline operates in strict accordance with RCW 70.41.320 patient discharge guidelines and RCW 70.41.322 lay caregiver notification mandates. Patient choice is documented.

Our RN team understands the RCW 70.41.320 hospital discharge guidelines and coordinates every transition around them — so discharge planners and hospital case managers can move quickly with clinical and regulatory confidence.

Hospital placement referral

RN-led clinical intake · urgency-prioritized

1. Referring Professional

Urgency*

2. Patient Information

3. Level of Care Needed

Select all that apply*

4. Diagnosis / Clinical Information

Clinical conditions (select all that apply)

5. Mobility & ADLs

Mobility & ADL assistance levelSet the assistance level for each area.
AreaIndependentSupervisionPartial AssistTotal Assist
Ambulation
Transfers
Bathing
Dressing
Toileting
Grooming
Eating / feeding
Equipment & mobility status (select all that apply)

6. Nursing / Medical Needs

Nurse delegation needed?*

7. Behavioral / Safety Needs

Select all that apply
Current supervision

8. Funding

Select all that apply*

9. Decision-Making / Contacts

Patient makes own decisions
Patient / family aware of referral

10. Placement Preferences

Room preference
Required features (select all that apply)

11. Document Upload

Tag what you're attaching, then upload the files below.

Documents included (select all that apply)
Secure Clinical Document Upload

Recommended uploads for expedited RN clinical review: Face Sheet, H&P, Medication List / MAR, Nursing Notes, Discharge Summary, PT / OT Evaluations.

12. Additional Information

Your information is secure. Patient data is processed and stored using secure, HIPAA-compliant data storage frameworks.

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