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Assistance connecting to financial, housing, food, transportation, or community support resources.
Support with workplace accommodations, return-to-work planning, disability forms, or insurance issues.
Reach out for guidance on a symptom that is becoming worse, more frequent, or more disruptive.
Reach out for guidance on a symptom that had improved or resolved but has returned or is ongoing.
Contact to discuss and document a new symptom that has developed since the last contact.
Scheduled follow-up to review progress, ongoing symptoms, care needs, and next steps.
Every 3-4 months
First visit to assess patient needs, symptoms, goals, and appropriate navigation supports.
Once