Discharge Planner Resources

Hospital Discharge Housing Coordination

Resources and coordination support for discharge planners, ER social workers, and medical staff seeking stable non-medical housing for patients ready for discharge.

Discharge Planning Housing Support

PHS coordinates stable non-medical housing for ambulatory adults being discharged from hospitals, rehabilitation facilities, and skilled nursing facilities. We focus on reducing discharge delays and housing-related complications.

Important — Ambulatory Housing Only

PHS provides non-medical housing only. We cannot accept patients who require:

Nursing care or medical supervision
Mobility assistance or wheelchair support
Personal care or medication management

Acceptable Referrals

  • Ambulatory adults ready for discharge
  • Patients with verified income or pending benefits
  • Adults capable of independent daily living
  • Patients with behavioral health stability
  • Adults appropriate for shared living environment

Required Documentation

  • Income verification (award letter, benefits statement)
  • Ambulatory status confirmation
  • Independent living capability verification
  • Discharge summary (if available)
  • Pending benefits documentation (if applicable)
  • Contact information for coordinating social worker

Referral Process Timeline

1

Referral Received

Submit inquiry via form or phone call

2

Eligibility Review

We review ambulatory status and income verification

3

Availability Confirm

We confirm whether placement may be available

4

Move-In Coordination

Schedule move-in and provide move-in instructions