PROCEDURE FOR ACTIVITIES OF DAILY LIVING REFERRALS

            In order for our facility to provide the best possible service to your client, it is important for us to have complete    information.  Below are listed our referral information requirements.  All of these forms will be provided by the Center.

  Information from the referring agency or facility:

 1.     Completed client referral form

 2.     History and Current Status Form

  Information from the client:

  1.    Pre-Admission Screening Form

      Kitty Carter
      Services Secretary
      Center for Rehabilitation Science
      and Biomedical Engineering
      Louisiana Tech University
      P.O. Box 3185
      Ruston, LA 71272
      (318) 257 - 4562
 
Click here to download a referral packet