Rafiki Medical Practitioners Mobile primary care, IV therapy, weight management, and men’s health in Arizona

Post Hospitalization Transition Care

In-home post-hospital follow-up visits for adults and seniors who need a safer transition home after discharge and do not yet have a primary care provider in place.

Post Hospitalization Transition Care

In-home post-hospital follow-up visits for adults and seniors who need a safer transition home after discharge and do not yet have a primary care provider in place.

Every service page leads directly into the right next step, whether that is booking a visit, becoming a patient, or sending a referral.

Send a transition referral Contact the office

Included

What patients can expect

  • A thorough review of the hospital discharge summary, instructions, and next-step care plan.
  • Full medication reconciliation to clarify what was taken before hospitalization, what changed, and what should be taken now.
  • Vital signs and symptom review to catch early warning signs of complications after discharge.
  • Assessment of the home environment for fall risks and basic safety concerns.
  • Education for patients and caregivers about wound care, equipment, diet, activity restrictions, and warning signs that need follow-up.
  • Coordination of follow-up appointments or referrals when specialists, therapy, imaging, home health, or additional services are needed.

Getting Started

How this works

  1. Send a referral with the discharge context, patient details, and any available hospital paperwork.
  2. The office reviews timing, recent hospitalization needs, and whether a mobile transition visit is the right next step.
  3. Rafiki follows up to coordinate post-hospital care, short-term bridge support, or ongoing mobile primary care when appropriate.

Need Help?

Not sure if this is the right option

The office can help patients, caregivers, and referral partners choose the right next step before scheduling or submitting records.

Contact the office View all services

Also Available

Other care options

Browse services
Mobile Primary Care

Comprehensive primary care delivered in the home for adults, seniors, assisted living residents, and group-home patients who benefit from mobile access.

Book primary care
IV Hydration Therapy

Safe, mobile IV hydration designed to restore fluids, improve energy, and support recovery with protocol-based screening and monitoring.

Book IV hydration
Medical Weight Loss

A provider-led weight management program that combines clinical evaluation, lifestyle support, lab monitoring, and medication options when appropriate.

Book a weight loss consult
Men's Health

Specialized men’s health services focused on hormone balance, energy, erectile dysfunction, and long-term wellness with safe monitoring.

Book a men's health visit