Most stroke survivors have little continuity in expert neurological care after discharge despite a high incidence of recurrent stroke and hospital readmission.

Our experienced team of neurologists and stroke rehab specialists work closely with patients over the course of several months to monitor and manage stroke risk factors and unmet rehab needs.


FEATURES:

  • Personalized care plans based on one’s unique risk factors and rehab needs

  • Patients are provided home monitoring devices such as a BP monitor, Fitbit, and smart pill box (as needed) at no cost

  • Convenient access to Neurology team via HIPAA-compliant, HITRUST-certified app

  • All care is in accordance with the AHA guidelines for secondary stroke prevention

  • Covered by insurance (co-pays/coinsurance may apply). Other arrangements available to uninsured patients referred from participating facilities.

PROVIDERS CAN REFER PATIENTS WHO:

  • have no planned outpatient Neurology follow-up

  • have hypertension and multiple vascular risk factors and may benefit from closer monitoring and continuity of care 

To submit a referral, complete the referral form and fax to (888) 538-4696

REFERRALS

PATIENT ELIGIBILITY:

  • Diagnosis of ischemic or hemorrhagic stroke in past 18 months 

  • Is being discharged home or to independent living 

  • If significant cognitive impairment, has active caregiver that can participate

  • Ability to engage in a telehealth program

    • Access to internet 

    • Owns a laptop, tablet, or smart phone

  • Lives in Virginia*

*Syntrillo will soon be able care for patients based in Tennessee, North Carolina, and Michigan