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Inpatient Services Application Form

    Applicant's Details







    Organisation's Details








    Key Contacts:




    Services Provided:

    Rehabilitation Levels: - Please tick all that apply

    Level 1Level 2Level 3

    See this pdf for explanatory text

    Rehabilitation Type:

    Hyperacute Neurorehabilitation:
    Have unstable medical needs but not in ITU or HDU.

    Yes



    Acute Neurorehabilitation:
    Stable but ongoing medical needs.

    Yes



    Intense Neurorehabilitation:
    Structured daily rehab programme.

    Yes



    Slow Stream Neurorehabilitation:
    Recovery considered to be slow or prolonged. May include specialist nursing care.

    Yes



    Transitional Living:
    Reintegration into the community through supported living and active rehab.

    Yes



    Community Neurorehabilitation:
    Providing rehabilitation within a community setting.

    Yes




    Long Term CareDay CareRespite CareHighly Specialist Nursing