Referral Referrals Our Services Have a patient in need of Recuperative Care? If so, please fill out the referral form below. Once the form is completed, our intake coordinator will reach out to you within 24 hours. If you have any questions about this process, please email us at: info@eastsideserv.com Bed Availability COMING SOON 12585 Marmon Street NE Minneapolis, MN 55449 Accepting Referrals COMING SOON 3504 Clinton Ave Minneapolis, MN 55408 Accepting Referrals Referral Form Referrer Name Facility/Organization: Referrer Phone Number Referrer Email Patient Name Patient Date of Birth PMI Number (MA) Current Housing Status Medical Diagnosis Reason for Referral Expected Duration of Care Relevant Medical Documentation Attached Relevant Medical Documentation Attached Send