Referrals from Parents/Other

Process for Referrals

  • Complete our Referral Form below or call our Home Health office at 713-668-6690.
  • Medicaid and/or private insurance benefits will be verified.
  • Our staff will obtain a physician’s signed request for an evaluation for treatment.
  • Client’s caregiver/parent will be contacted by phone to schedule an admission visit.
  • Once the admission visit is completed, the therapist or our office staff will call to schedule the initial evaluation.
  • After the initial visit for an evaluation, the evaluating therapist will recommend the frequency of services and assist the family with scheduling appointments.
  • Services will start after the physician approves the plan of treatment and authorization is received from the insurance company or Medicaid.

Referral/New Patients Form

Please let us know how we can help you! Fill out the form below and we will contact you shortly.


Please provide the ZIP code for the patient. This will help speed up the referral process.

Physical Therapy
Occupational Therapy
Speech Therapy