Care Navigation & Coordination
One person who knows the whole story
Most people do not fall through the cracks because nobody cared. They fall through because six different offices each held one piece of the picture and none of them talked. Care navigation exists to close that gap.
We help you find the right specialist, get the referral placed, make sure records actually arrive, and prepare for the appointment so you walk in knowing what to ask. Afterward, we follow up on whatever came out of it.
Beyond the exam room
Health does not stop at the clinic door. Housing, food, transportation, and money pressure shape how anyone heals, and we help connect patients with community resources that address them.
Finding affirming care elsewhere is part of this too. If you need a specialist, a therapist, or a hospital where you will be treated with respect, we will use what we know about this region to point you somewhere safe rather than sending you in blind.

Help finding the right care, getting records where they belong, and connecting with the resources that make health possible.

Is care navigation included in membership?
Yes. Help with care and connection to community resources is part of what your Direct Primary Care membership covers, with no separate charge and no billing surprises.
Can you help me find a specialist who will treat me respectfully?
That is a large part of why this service exists. We use what we know about clinicians in the region to send you somewhere you will be treated well, and we tell you honestly when we are not sure.
What if I get care at a hospital or urgent care?
Let us know and we will help pull the records in, make sense of what happened, and follow up on anything left hanging. Continuity is a lot easier when one office is holding the thread.
Do you help with applications and paperwork?
We handle medical letters, forms, and documentation, and we can point you toward the right programs for housing, food, and financial assistance. See our documentation support page for more on the paperwork side.
