Send Your Contact Information
Use the form below or call the referral line. The care team confirms the referral and how the referral source prefers to communicate.
Professional Referral Center
Submit a Secure Referral
Referrals receive RN-led clinical review, a clear response, and coordinated start-of-care planning. This page explains what to send, what will be reviewed, and what happens after submission.
How the Secure Process Works
Secure Transmission Is Confirmed
A Liberty team member confirms the secure method for sending patient information and documents, so protected health information never travels through ordinary channels.
RN Clinical Review
A nurse reviews the needs, location, timing, payer, orders, and staffing requirements, then responds with a clear answer.
Confirmation and Tracking
You receive a confirmation of receipt, what happens next, and a direct contact for urgent questions. Submission does not guarantee acceptance.
Three Ways to Send It
How to Submit Your Referral
Send the referral and supporting documents through any of the options below. Each method reaches Liberty's referral team directly and starts the same RN-led clinical review.
01
Referrals@LibertyRN.com
Send the referral and supporting documents via the secure method confirmed on your callback.
02
Fax
240-272-7114
Fax the referral packet and supporting documents directly to the referral team.
03
Dedicated Referral Line
240-376-2550Call to confirm the secure transmission method and begin clinical review.
Prefer to talk it through first? Request a referral callback below and the care team will confirm the best secure method for your patient's information.
Step One
Request a Referral Callback
Share your contact details and a summary of the referral. A member of the care team will call back, confirm the secure transmission method, and begin clinical review. Please do not include patient records or sensitive health information in this form.
Dedicated referral line 240-376-2550
Privacy and security. Liberty treats protected health information with the care the law requires. Vendors that handle PHI on Liberty's behalf are required to sign Business Associate Agreements, and patient documents are never routed through ordinary email notifications.
Secure Inquiry
Contact the Care Team
The contact and summary above are shared with Liberty's care team; clinical documents are collected during the confirmed secure call.
Inquiry Received
Thank you. Your message has been received by Liberty Advanced Nursing's care team and will be reviewed promptly. For anything urgent, call us directly at 240-376-2550.
We Could Not Send That
Something went wrong on our side. Please try again, call 240-376-2550, or email care@LibertyRN.com.
What We Will Review
The Information a Referral Needs
Having these details ready speeds the review. Liberty's nurse will walk through them with you on the callback; nothing here is submitted through the public website.
Patient Information
- Patient name and date of birth
- Address or discharge destination
- County where care will be provided
- Primary contact and preferred language
- Anticipated discharge date
- Current location: hospital, rehab, home, or other
Clinical Needs
- Primary diagnosis
- Requested services
- Equipment and technology (trach, vent, feeding pump, IV pump, monitoring)
- Requested hours and schedule
- Nursing level requested
- Urgency of the referral
- Physician's name and contact
Coverage & Physician
- Primary payer
- Member identification
- Authorization status
- Secondary coverage
- Private-pay inquiry, if applicable
Supporting Documents
What Liberty Asks For
Multiple PDFs and images are welcome. The documents below cover the vast majority of referrals. Send them through the secure method confirmed on your callback.
Face sheet
The patient and visit summary every discharge uses.
History and physical
The clinical baseline for the plan of care.
Medication list
The reconciled medications and administration details.
Physician orders
The orders that authorize skilled nursing.
Nursing notes
Recent notes that describe the patient’s current status.
Discharge summary
The hospital’s summary of the admission and plan.
Plan of care
Existing care plans, if one is already written.
Insurance card
Front and back, for benefits verification.
Authorization
Any existing authorization or referral documents.
Other supporting records
Anything else that clarifies the patient’s needs.
Confirmation and Tracking
What Happens After You Submit
After the referral is received, the referral source is given:
- A confirmation number and the time and date the referral was received
- A clear explanation of what happens next, step by step
- A direct contact for urgent questions during the review
- A clear statement that submission does not guarantee acceptance or start of care
Referral Status
How a Referral Moves
- 01 Received
- 02 Under clinical review
- 03 Additional information needed
- 04 Benefits / authorization review
- 05 Staffing review
- 06 Assessment being coordinated
- 07 Accepted
- 08 Unable to accept
Referral sources may check the status of a specific case through their direct contact at Liberty. Limited status information is shared only through confirmed channels.
Urgent Question About a Referral?
Call the referral line directly instead of waiting on email.