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.

Child's Name*

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

Physical Therapy
Occupational Therapy
Speech Therapy

Parents Name*