New Hampshire Rehabilitation Referral Form is a document used to refer patients to a rehabilitation program or provider in the state of New Hampshire. It is typically completed by a healthcare provider, such as a doctor or nurse, and includes patient information and details about the referral. There are three types of New Hampshire Rehabilitation Referral Forms: the Inpatient Referral Form, the Outpatient Referral Form, and the Comprehensive Referral Form. The Inpatient Referral Form is used for referrals to an inpatient program in New Hampshire and includes demographic information, an assessment of the patient's medical condition, and treatment goals. The Outpatient Referral Form is used for referrals to an outpatient program in New Hampshire and includes the same information as the Inpatient Referral Form. The Comprehensive Referral Form is used for referrals to a program that offers both inpatient and outpatient services and includes additional information about the patient's needs and treatment plan. All New Hampshire Rehabilitation Referral Forms include a signature line for the referring healthcare provider.