Elks Rehab Hospital exterior view Robbins Road entrance
Admissions Information For Referrals
Therapy Prescription Form

Admissions process (For medical personnel): A physician’s referral/order (prescription) is required for admission to the Elks Rehab Hospital. To begin the admission process, call the Admission Liaison Nurse directly:

  • Office – 208.489.4522
  • Pager – 208.884.1446
  • FAX – 208.489.4004
  • Toll Free – 1.866.367.3557


    To begin the admission process, please fax the following:

  • 1. Patient’s name
  • 2. Referring physician name
  • 3. Patient’s funding source
  • 4. Face sheet
  • 5. H & P
  • 6. consults
  • 7. Baseline health history – nursing
  • 8. PT/OT/ST initial evaluation and most recent notes
  • 9. Medication list
  • 10. Labs
  • 11. Graphic sheet (Wt, I & O, Vital Signs, Last BM)
  • 12. 02 saturations