Care that continues

Hospital Follow-Up: California Telehealth & Inland Empire Appointments

Coming home from the hospital can bring new medicines, paperwork, and questions. Schedule a follow-up visit to review your discharge plan and understand the next steps in your care.

Existing patients sign in to the secure patient portal; new patients register. If your visit type is not listed, call our team to schedule the correct appointment. Confirm availability and coverage before booking.

For hospitals, medical groups, IPAs, and senior organizations

Discuss Hospital Follow-Up / TCM referrals, care coordination needs, or a prospective service agreement.

Referral & contracting information ↓
A clinician listening to a patient in an exam room

A clearer plan after discharge.

A hospital stay can change your routine quickly. You may leave with new prescriptions, instructions from several clinicians, or recommendations for further appointments. Hospital follow-up gives you a place to bring those pieces together and discuss what you need help understanding.

At Harmony Wellness & Health, tell our team when you were discharged, why you were hospitalized, and when your discharge team recommended follow-up. Contact us promptly rather than waiting for symptoms or paperwork to become more difficult to manage. Appointment availability and the right setting depend on your needs.

Review what changed during your hospital stay.

Bring the discharge summary and the medication instructions you received. Your clinician can review your concerns, discuss changes in your care, and help clarify appropriate follow-up. If a specialist or hospital team already gave you instructions, share them so the conversation begins with the information you have.

Tell us about recommended testing, pending results you were told to follow up on, specialist appointments, or practical difficulties with your plan. Mention any trouble getting a medicine or understanding which instructions to follow. Do not stop or change a prescribed medicine based on this page; ask your treating team for individual guidance.

Have these details ready when you schedule.

You do not need to have everything organized perfectly before calling. Start with your discharge date and the follow-up instructions you were given. Let the team know about a recommended deadline so they can discuss an appropriate appointment rather than assume a routine visit is soon enough.

  • Hospital or facility name and discharge date
  • Discharge summary and the reason for your stay
  • Current medication list, including recent changes and allergies
  • Names of hospital clinicians and specialists involved in your care
  • Recommended follow-up dates, tests, and questions

Know who to contact between visits.

Before your appointment ends, ask which team will handle each next step, how to follow up on outstanding information, and when another visit is needed. If a hospital specialist is managing part of your recovery, keep that team’s contact details and instructions available.

A follow-up appointment is not emergency monitoring. If you develop severe chest pain, severe trouble breathing, signs of stroke, or another medical emergency, call 911. For a new or worsening concern that cannot wait for a scheduled appointment, contact your treating team or seek appropriate urgent care.

Your appointment options

California telehealth or Inland Empire care.

Ask about a video visit from a private location in California or an in-person Inland Empire appointment. Your clinical needs determine which format is suitable. Confirm your location, visit type, and any instructions before your appointment, especially if you have been advised to arrange care within a specific time.

If an examination, testing, or another level of care is needed, a video visit may not be enough. Tell our team about your care instructions and any changes so they can help you choose an appropriate next step.

Explore California telehealth

Coverage and benefits

Know which visit you are booking.

Hospital follow-up is separate from the Medicare Annual Wellness Visit benefit. Some eligible patients may qualify for transitional care management, which has its own requirements and potential costs. A routine follow-up booking does not automatically enroll you in that service. Confirm the service, provider participation, plan benefits, and expected costs with our team before scheduling.

Read Medicare’s transitional care coverage information for details of that Medicare benefit.

Looking for your Medicare Annual Wellness Visit?

Eligible patients can complete a covered Medicare AWV by telehealth, subject to current coverage requirements and individual plan benefits. The AWV focuses on a personalized prevention plan. It does not automatically cover separate hospital follow-up or chronic condition treatment.

Schedule a Medicare Annual Wellness Visit

Before scheduling

Hospital Follow-Up questions

How soon should I book after leaving the hospital?

Contact us promptly and follow the timing in your discharge instructions. Tell us your discharge date and any deadline you were given. If a suitable appointment is not available within that time, ask your discharge team about the next appropriate option. Do not delay necessary care while waiting for a portal response.

Can hospital follow-up be completed by video?

Some follow-up conversations may be suitable for telehealth when you are physically located in California. Your symptoms, discharge instructions, examination needs, and current coverage requirements determine whether video is appropriate. An in-person examination or other care may be needed. Confirm the visit format with our team before booking.

Can my caregiver or discharge team help arrange the visit?

Yes, a caregiver can help you gather information and call with you. A hospital discharge coordinator can contact our team to discuss scheduling and how records should be shared securely. Please do not send discharge records, Medicare numbers, or other sensitive health information through a general website message.

Referral partners & contracting

A clear next step for discharge planning teams.

Hospital discharge planners, case managers, medical groups, and IPAs can contact Harmony Wellness & Health to discuss post-discharge follow-up options. Begin with the discharge date, recommended follow-up timing, patient location, and the kind of visit needed. The team must confirm clinical suitability and appointment availability before a handoff is arranged.

Define the right referral pathway.

  • Discuss the discharge summary, medication changes, pending tests, specialist instructions, and the clinician responsible for each next step. Confirm a secure records-transfer method before sharing patient information.
  • For a time-sensitive discharge, call rather than rely on an online inquiry. Confirm acceptance and an appointment time directly; a request alone does not complete the transition or reserve capacity.
  • If your organization is seeking a formal transitional care management (TCM) arrangement, discuss responsibility for post-discharge contact, visit timing, medication review, documentation, and communication with the existing care team before referring under that model.

A routine hospital follow-up appointment does not by itself establish that all Medicare TCM service requirements have been met. TCM arrangements, eligibility, responsibilities, and billing must be confirmed separately. This service is not emergency care or continuous monitoring.

Start a contracting conversation.

Tell us your organization’s name, your role, a business contact number, the population and service area you support, the service you are interested in, and your expected referral volume and timeline. We can use that conversation to assess fit and discuss the next steps. Please send business details only in an initial email.

Before launching a relationship, confirm the clinical scope, available capacity, referral acceptance process, scheduling expectations, and each team’s responsibilities. Discuss the credentials and documentation your organization requires for its review, including applicable licensure, provider identifiers, insurance, and payer participation. Any network status, authorization requirements, rates, payment arrangements, or contract terms must be verified and agreed directly.

Agree on communication before the first referral.

Discuss a designated contact on each side, how appointment status and visit information would be shared, the records-transfer method, and the patient permissions or organizational agreements needed. If your organization needs particular reporting or follow-up notifications, agree on the details and feasibility before starting. No reporting integration, turnaround time, or reserved appointment volume is implied by an inquiry.

For an individual patient referral, call to confirm the appropriate visit, current availability, coverage review, and secure intake instructions. Do not send patient names, Medicare numbers, discharge records, or other protected health information through general email or the website’s general contact form. A partnership inquiry does not establish a contract or guarantee acceptance of a patient or plan.

Business inquiries: info@harmonywellnessandhealth.com · 951-293-4166

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Your next step

Schedule your hospital follow-up visit.

Use the secure patient portal or call for help arranging the right appointment. Caregivers and referring care teams can call to discuss scheduling and secure record-sharing arrangements.