To refer a patient
Address: 200 High Park Ave, Goshen, IN 46526
Phone (to schedule): (574) 364-2400
For questions, call: (574) 364-2625
Fax: (574) 364-2410
Referral form

Diagnostic services offered:

• ABG
• Cardiac monitors
  • Holter
  • Event
• Cardiac stress test
  • Exercise stress test (treadmill)
  • Stress echo (exercise)
  • Dobutamine stress echo (medication)
• EKG
• Oximeter monitor
• PFT

Information for patients

• ATS Pulmonary Function Test
• CPS Stress Test Instructions-Printable
• CPS Stress Test Instructions Spanish-Printable
• Patient Instructions Before Tests
• Stress Tests Info Sheet

Information for providers

• Outpatient Cardiac Monitoring ICD 10 Codes
  
• GGH Heart Monitors Schedulars
• Stress Tests ICD 10 Codes

To refer a patient
Address: Goshen Heart & Vascular Center, 2nd floor - 1855 South Main St, Suite B, Goshen, IN 46526
Phone (574) 364-2587
Fax: (574) 364-2531
Referral forms:

• Cardiac Rehab Referral Form
• PAD Supervised Exercise Referral
• Pulmonary Rehab Form
• Smoking Cessation Referral Form

Patient information:

• Pulmonary Rehab Info Sheet

Our team works together to promote healthy lifestyle modification through the treatment, prevention and reversal of life-threatening chronic diseases. The team includes a registered nurse, respiratory therapist, clinical exercise physiologist, health educator and clinical exercise specialist. 

Services offered

• Cardiac rehab – traditional and intensive
• Chronic lung disease support group, monthly
• Pulmonary rehab
• Supervised exercise therapy for peripheral artery disease
• Tobacco cessation education and weekly support group

Functional assessments

• 6-minute walk test
• Cardiorespiratory health evaluation
• Exercise readiness assessment

Phone (for patients or providers): (574) 364-2496

Events and Programs

Email

Using data-driven, evidence-based practices, Community Engagement collaborates with partners to create and implement innovative education and wellness programs that impact the health needs of the community. You are welcome to have your patients call, email or check the website for programs and events. We are available to offer education to patients within a practice if requested.

Our programs include:

General health and wellness programs - We offer education on a variety of general health and wellness topics to schools and general community groups. These programs are available at no charge and are targeted toward specific needs.

Health video library - Patients can view a variety of our health videos including past THRIVE! webinars and fun, family videos on nutrition and fitness.

Special events - We organize events to impact the community’s health needs.

Sprouts Kids Club - Between May and October, kids can participate in Sprouts Kids Club, a free program held on Tuesdays from 3-7 p.m. at the Goshen Farmers Market.

Summer Health Lunch Bunch - Goshen Health partners with local schools to offer fun, interactive health education and activities at select summer feeding sites.

To refer a patient, please complete the referral below
For questions: (574) 537-1221
Referral forms:

• Diabetes Education Referral
• Insulin Adjustment Standing Orders
• Insulin Pump Adjustment Standing Orders

Consultations can help your patients delay the onset of or slow the progression of complications from diabetes. A provider referral is required for an outpatient consultation.

• Tips for Generating Diabetes Education Referral w/ICD 10 Codes
• Diabetes Education Offerings

To refer a patient
Address: Goshen Hospital - 200 High Park Ave., Goshen, IN 46526
Phone: (574) 364-2608
Fax: (574) 364-2785

Please begin by calling us. The emergency physician will help expedite the triage process and ensure that your patient’s care is efficient and directed to the consultant of your choice. Be prepared to provide any pertinent medical information, along with a medication list and any known allergies.

A Level II Emergency Center, we provide experienced emergency physicians and nurses who are ready to deliver efficient, effective care to patients with any type of medical emergency.

All physicians staffing our Emergency Department are board-certified or board-eligible in Emergency Medicine, something not commonly found in communities this size. Most of our physicians have been with the department for over 10 years, reflecting their commitment to provide quality emergency medicine to our community.

Follow-Up Care

We strongly encourage patients to seek follow-up care with their physician after a medical emergency. To help you provide the most complete care, we provide referring physicians with a copy of the face sheet and the Emergency Department assessment on the next business day after a patient’s visit. The referring physician’s name is added to Goshen Hospital’s Meditech account so physicians with access to electronic medical records (EMR) can view their patient’s medical records.

You can also request additional report copies calling Health Information Management at (574) 364-2624.

Home Care & Hospice have been consolidated into one department, but both provide individualized care to meet the needs of each patient and family.

Home Care services

To refer a patient
Phone (24 hours, 7 days a week): (574) 364-2700
Fax: (574) 364-2835

Our access to patient records enables us to complete all necessary forms and orders. Then we just need the physician’s approval to proceed. We’ll contact the patient to implement the treatment plan.

We provide professional healthcare services in the privacy and comfort of a patient’s own home, relying on advanced technology and treatment methods. Studies have shown that being in familiar surroundings, as well as being closer to family, help patients recuperate sooner.

We offer individualized care based upon each patient’s specific needs. All of our providers are specially trained and registered, licensed or certified in their area of expertise.

Availability

Home care services are available 24 hours a day, seven days a week. The program accepts Medicare, Medicaid and most insurance plans.

• Order and Face-to-Face Encounter
• New Home Care Regulations Information

Hospice services

To refer a patient
Phone: (574) 364-2700
Fax: (574) 364-2835

• Referral Form
  Hospice Admission Criteria and Guidelines

Hospice care emphasizes the quality of life as being as important as the length of life. It employs a special team approach to caring for people with an incurable, progressive illness. Hospice care may take place in the patient’s or a family member’s home, recognizing that a nursing facility may where the patient lives. Hospice care:

• Emphasizes symptom management of pain and physical discomfort
• Provides for emotional and spiritual needs of patients and families
• Supports family members in caring for the patient

Patient eligibility

Persons are eligible for hospice if they meet the following criteria:

• They no longer desire curative treatment
• The physician certifies a prognosis of six months or less
• The patient has a caregiver or plans for a caregiver

Payment

Hospice is paid for by:

• Medicare hospice benefits
• Medicaid hospice benefits
• Most insurance companies
• Individuals private pay

Note that Goshen Hospice Services are provided regardless of the ability to pay.

To refer a patient
Address: 1501 S. Main St., Goshen, IN 46526
Phone: (574) 533-0626 or (800) 654-9415
Hours:
Mon.-Fri., 8 a.m.-5:30 p.m.
Sat., 9 a.m.-2 p.m.
24-hour emergency service

Wide selection to meet your patients’ needs

We offer a wide selection of equipment and supplies to meet almost every need. We make sure every item is of highest quality. Your patients get what they need with just one call and without leaving home.

Trained technicians who care

Our licensed respiratory therapists and specially trained home medical technicians come to your patient’s home and set up equipment. They will also instruct your patient or a family member on proper use. Follow-up home visits are made when needed and we maintain our rental equipment while in use. Emergency assistance is available 24 hours a day. We offer an ATP certified technician, trained specifically to address seating and mobility needs.

Insurance claims

We offer assistance with Medicare and/or private insurance. We complete the required claim forms and handle all necessary correspondence. Medicare assignment is generally accepted.

There’s no need to research if a patient's insurance is in network as we are in network with most insurance companies.

Home Medical Equipment

Ambulatory aids

• Canes
• Crutches
• Power chairs
• Scooters
• Stair lifts
• Walkers – standard and seated walkers with wheels
• Walker accessories
• Wheelchairs/power wheelchairs

Bathroom aids

• Bath bars
• Bath benches
• Commodes
• Elevated toilet

Braces, compression stockings, diabetic shoes

• Ankle, wrist and elbow braces and supports
• Braces and supports for numerous conditions
• Diabetic shoes
• Hosiery – over the counter and custom compression
• Lymphedema garments
• Lymphedema pumps
• Spenco shoe inserts and semi-custom shoe inserts

Home health care supplies

• CADD pumps
• Catheters and supplies
• Diabetic supplies
• Enteral feeding supplies and pumps
• Insulin pumps and supplies
• Ostomy supplies
• Wound care products

Infant products

• Home phototherapy units for jaundiced infants

Patient room supplies

• Hospital beds
• Hoyer patient lifts
• Lift chairs
• Mattress overlays
• Trapeze bars

Respiratory equipment

• Airline approved oxygen equipment
• Nebulizers
• Nocturnal trends
• Oxygen concentrators
• Portable oxygen
• Sleep apnea equipment and supplies
• Suction machines
• Tracheal supplies

Self-diagnostic products

• Blood pressure monitors
• Diabetic supplies
• Stethoscopes and otoscopes

Therapy supplies

• CPM - Continuous Passive Motion
• T.E.N.S. - Muscle Stimulator

Women’s health

• Breast-feeding pumps, bras and supplies
• Breast forms, bras and swimwear
• Maternity supports and hosiery
• Wigs and turbans

Address: 200 High Park Avenue, Goshen, IN 46526
Phone: (574) 364-2510
Fax: (574) 364-2499

Goshen Hospital is proud of our Hospitalist Program. We partner with Apogee Physicians, the nation’s leading hospitalist group, to allow for greater physician flexibility, while ensuring our patients receive the highest quality inpatient care.

Our hospitalist team is made up of internal medicine physicians, nurse practitioners and patient information coordinators.

Objectives

• To provide inpatient care for unassigned patients via the emergency department
• Unassigned patients are assigned to a PCP in their geographical area for follow-up care upon admission. This ensures complete and accurate communication with the assigned PCP, resulting in a smooth and seamless transition from inpatient care to follow-up care.
• To provide inpatient care for medical staff members (outside of Goshen) who do not currently admit patients directly.
• Co-management of inpatient care for the Goshen Physicians specialists.
• Transition to coverage for inpatient care for PCPs who choose to utilize this service.

Patient information coordinators (PICs)

The role of the patient information coordinators (PICs) is to communicate with both the patient as well as the PCP’s office to ensure a seamless transition from inpatient to follow-up care.

Responsibilities

• Contacts referring offices to notify physician of a patient’s admittance and/or obtain necessary information on admitted patients.
• Communicates with the referring physicians regarding admitted patients.
• Ensures the discharge summary is sent to the referring physician’s office within 48 hours of discharge.
• Follows up with patients after discharge to confirm the patient’s appointment with their PCP.

The PICs do not provide clinical care to patients.

To refer a patient
Address:
Goshen Hospital Imaging
200 High Park Avenue, Goshen, IN 46526
Phone: (574) 364-2400

Outpatient Diagnostic Imaging Center
1115 Professional Drive, Goshen, IN 46526
Phone: (574) 364-4850
Fax: (574) 364-2410
Scheduling hours: Monday - Friday 8:00 a.m. - 5:30 p.m.

• Reference Guides/Info for Providers
• Information for Your Patients
• Requisitions/Orders

The physician or patient may schedule an appointment by calling between 8 a.m. and 5:30 p.m. weekdays. Depending upon the type of test, imaging services may be performed at Goshen Hospital, Goshen Retreat Women's Health Center or the Outpatient Imaging Center on the retreat campus. The ordering physician will need to include the ICD-10 codes on the form completed.

With a full range of imaging capabilities, from traditional radiology to some of the most advanced technology available, we’re making disease diagnoses and treatment plans with greater accuracy and precision than ever before. In addition to traditional radiology, our services include full cardiac diagnostic services, nuclear medicine stress tests, cardiac CTAs and more.

Services offered:

• Bone density
• Cardiac CTA
• CT
• Diagnostic
• Mammography
• MRI
• Nuclear medicine
• PET/CT
• Ultrasound

To refer a patient
Address: Goshen Hospital, 200 High Park Ave, Goshen, IN 46526
To schedule an appointment: (574) 364-2400
To fax an order: (574) 364-2410
Office hours:
Monday - Thursday 7 a.m. – 5 p.m.
Friday 7 a.m. - 4 p.m.

Referral Form for Lab Requisition

Services Offered:

• Screening tests to evaluate your health
• Complex testing for serious life-threatening conditions
• Consultation with your doctors and medical team on test interpretation
• Processing and interpretation of biopsies, tissue and other specimens
• Diagnosis based on clinical history and laboratory testing

To refer a patient
Phone for appointments (Patient Access): (574) 364-2400 or (866) 724-3851
For questions, call Nutrition Therapy: (574) 364-2679
Fax: (574) 364-2410

Referral Form

A patient must have a physician’s referral to make an appointment. First, schedule an appointment, then please fax the referral form.

Our registered dietitian nutritionists provide counseling services to prevent or manage disease while assisting patients in setting realistic and achievable nutrition goals. Our dietitians are degreed professionals registered by the American Dietetic Association and certified by the state of Indiana. Making healthy nutrition and lifestyle changes can greatly enhance your patients’ health while complementing any treatment plan you prescribe.

• Additional Nutrition Resources

To refer a patient
Address: Goshen Center for Cancer Care, 200 High Park Ave, Goshen, IN 46526
Phone: (574) 364-2963
Fax: (574) 364-2983
Email
Outpatient infusion hours:
Monday – Friday, 7:30 a.m. – 5:30 p.m.
Saturday – Sunday, 8:00 a.m. – 12 noon
Services needed outside of these hours must be coordinated through the house supervisor.
Referral forms:

• Infusion Center Appointment Cards
• Outpatient Infusion Order for Goshen Physicians
• Outpatient Infusion Order for Independent Offices

Note: All patients must have appointments and arrive on time. Please be sure the patient knows the time of their appointment.

The Alice A and Rex Martin Infusion Center is located at Goshen Center for Cancer Care (connected to Goshen Hospital). We provide a wide variety of infusion and injection services in a relaxed setting where patients (and their families) feel comfortable and genuinely cared for by our friendly and personable staff.

Our infusion rooms include:

• Comfortable recliner seating designed for patients receiving infusions
• Televisions so they can watch regular TV, play video games or watch relaxation videos of nature scenes
• Meals, nutritious snacks and beverages are available

Our services include:

• Blood transfusions
• CADD pump
• Implanted port flushes and port blood draws
• Intramuscular, subcutaneous, IV push and IV infusions for antibiotics, diuretics and hydration
• Iron infusions (Venofer)
• IVIG
• Lovenox bridge with associated blood work
• Osteoporosis medications (Reclast infusions, Boniva IV, or Prolia SQ)
• PICC line care, declotting and removal
• Rabies series (after initial treatment of wound in the office or ED)
• Remicade, cimzia, xolair and other specialized infusions
• Solu-Medrol
• Therapeutic phlebotomies

Instructions for scheduling patients

Please follow these steps:

1. Fill out the updated DTS order.
2. The ICD-10 codes can be obtained from the provider managing the care.
3. A provider with admitting privileges must be included on the order.
4. Email the order document. Please include ‘confidential’ in the subject line to ensure the email is secure.
5. Following our current process, the precertification number must be provided by the referring office prior to therapy.
6. In the case of a blood transfusion, biologic or chemotherapy order, verification of a signed informed consent must be presented with the precertification. No patient with an order for blood transfusion, biologic, or chemotherapy infusion will be scheduled or treated without informed consent verification.
7. If same day add on, please email the order and call (574) 364-2963 for approval and to confirm arrival time.
8. The DTS order will be reviewed. Once accepted, the infusion center scheduling department will call the ordering provider’s office with an appointment date and time. For the initial infusion center visit, the ordering provider’s office is responsible for informing the patient of the scheduled date and time. Subsequent visits (if needed) will be communicated with the patient by the infusion center scheduling department.
9. If an incomplete DTS order is received, the infusion center scheduling department will notify the provider’s office for completion before acceptance of the order or scheduling of the patient.

As a reminder, all patients must have scheduled appointments. Walk-in services are not accepted.

Address: 200 High Park Ave, Goshen, IN 46526
Scheduling hours: Monday - Friday 8:00 a.m. - 5:30 p.m.
(574) 364-2400 or (866) 724-3851
For requisitions and insurance preauthorizations:
Fax: (574) 364-2410

• Pre-authorization Form
• Pre-authorization Form (Fillable)
  
  NOTE: To provide efficient and safe check-in, all services are scheduled in advance -- including Lab and X-ray.

• We work with physician offices and patients to schedule Outpatient Services including: Radiology/Imaging, Lab, Cardiopulmonary Services, Sleep Center and Dietitians. We offer upcoming appointment reminders via text or email. Patients may request lab appointment(s) via the Patient Health Portal.

When scheduling an appointment:

• We will verify patient demographics such as: name, date of birth, address, phone number and insurance including subscriber, policy number and group number.
• All orders/requisitions are to be faxed to (574) 364-2410 or exported (if using NextGen) making them available to us to view at the time of scheduling. This reduces errors and allows us to best serve the patient.

Additional information to have available when scheduling:

All Appointments

1. Patient preference for appointment (day and time)
2. Patient primary language - interpreters needs (this also impacts online registration settings)
3. Current patient demographic and insurance information
4. Name of ordering physician/provider
5. ICD-10 Code - code and verbiage

Imaging Appointments

1. Patient's weight and height (this is critical information for some exams)
2. Allergy to iodine
3. Renal disease or diagnosis of diabetes - medication such as Glucophage Metformin
4. Date and location of any comparison films

COVID Protocol:
If a patient will not pass screening, we will assess with the modality affected for next steps which may include any of the following:

1. Reschedule appointment until risk is reduced
2. Arrange for patient to enter through an alternate entrance

Other Goshen Health Scheduling Contacts:

• Mammograms -- Goshen Retreat Women's Health Center -- Phone (574) 364-4611, Fax: (574) 364-4610
• Bone density/DEXA tests -- Goshen Retreat Women's Health Center -- Phone (574) 364-4611, Fax: (574) 364-4610
• Rehabilitation therapy (Physicial - adult and pediatric; Occupational; Speech) -- Goshen Health Rehabilitation -- Phone (574) 537-0962 or (855) 432-8493
• Diabetes Education -- Goshen Physicians Endocrinology office -- Phone (574) 537-1221 - Fax (574) 537-1225
• Outpatient Infusion Services (OIS) -- Alice A and Rex Martin Infusion Center -- Phone (574) 364-3309 - Email order documents to: infusioncenter@goshenhealth.com

Pre-registration hours:
Monday - Friday 8:00 a.m. - 5:30 p.m.
(574) 364-2472

We will contact patients prior to their date of service to:

• Verify demographics
• Verify insurance elgibility
• Confirm insurance prior authorization is obtained when necessary
• Provide an estimate of the service
• Provide an opportunity for patient to make payment in advance
• We will also refer to financial assistance if requested or indicated

Pre-registration is also available electronically for most appoointments, using the patient's smartphone or email.

Registration hours:
Monday - Friday 5:30 a.m. - 6:00 p.m.
Saturday 6:30 a.m. - 3:00 p.m.
Sunday 7:00 a.m. - 3:30 p.m.

All appointments are scheduled in advance allowing us to provide efficient and safe check-in. Patients should bring a current copy of their insurance care and photo ID for their visit.

We invite our patients to engage with us electronically for the following:

• Pre-register for upcoming appointments using their smart phone or email
• Complete COVID screening for an upcoming appointment
• Confirm appointment reminders using text or email
• Request lab appointment(s) via the Patient Health Portal

Patient Access Front Desk
Phone: (574) 364-2676

To refer a patient
Goshen Hospital (inpatients only)
200 High Park Ave., Goshen, IN 46526
Fax: (574) 773-5919

Goshen Orthopedics
1824 Dorchester Court, Ste. B, Goshen, IN 46526
Phone: (574) 537-0962
Fax: (574) 537-8951
Adult and pediatric; speech therapy, PT and OT

Nappanee
Goshen Physicians Family Medicine
1953 Waterfall Dr., Suite B (at CR 7)
Phone: (574) 773-3038
Fax: (574) 773-3947

Syracuse
Goshen Physicians Family Medicine
1033 N Indiana Ave, Suite C
Phone: (574) 457-2213
Fax: (574) 457-2239

Phone (toll-free): (855) 432-8493
Fax: Referral form to location closest to your patient’s workplace or home. We will contact the patient to schedule an appointment.

Following an injury, illness, surgery or trauma, Goshen Rehabilitation can help your patients (adults and children) achieve their highest potential. We offer a complete range of rehabilitative care, including physical therapy, occupational therapy and speech therapy. Please see referral form for a complete listing.

Services are offered on an inpatient and outpatient basis. Our convenient facilities feature leading-edge equipment and qualified, competent rehab professionals.

Outpatient Medicare B Cap

Medicare Part B places a payment cap on outpatient rehabilitation services for all providers except hospital outpatient departments. That means there are no limitations on your patients’ quality or quantity of care for outpatient services through Goshen Rehabilitation.

Outpatient services through other providers such as skilled nursing facilities, rehabilitation agencies, clinics and home health agencies are annually capped per person at less than $1,800 for occupational therapy and $1,800 for physical and speech therapy combined. Since Goshen Rehabilitation falls outside of the Medicare B cap, your patients can take advantage of their rehabilitative care as prescribed – meaning a faster road to recovery.

• Referral Form
• How are Occupation Therapy, Speech Therapy and Physicial Therapy Related?
• Post Breast Cancer Exercises for Patients