If you have any questions about Lakeview Specialty Hospital & Rehab Center or would like information sent directly to you on any of our Programs, Services or Group Homes please contact us in any of the following ways:
Telephone us at 1-800-611-2063 or (262) 534-7297
FAX us at (262) 534-7257.
Email our admissions office.
Mail us directly at 1701 Sharp Road, Waterford, WI 53185
Referral Requirements
Lakeview has compiled the following list of documents to expedite the referral process. Our medical director and professional team make a clinical determination through record review. Notification of the clinical results will be made after the review.
Required Documents
A Negative Chest x-ray or PPD (less than 30 days old)
Free From Communicable Disease Statement
Current Face Sheet
Medical Consults
Current Medication Lists
History and Physical
Psychosocial History
Current Labs
Physician Progress Notes (3 days)
Nursing Notes (3 days)
Therapy Progress Notes
Summary of the Most Recent Team Conference
Insurance Cards
Financial / Insurance Information
POA or Guardianship (if applicable)
Required Documents for Children
Childhood Immunizations
IEP's (Individual Educational Programs)
Pertinent School Records
Birth Certificate
Social Security Card
Permission to Work Letter for Therapeutic Purposes (Over 14 years of Age)
Admission and Referral Process
Please see our Admission Criteria section
for information on the admission and referral process, where to
send records and contact information.
