Referrals can be submitted by filling out our online intake form and submitting via email or fax. You may also call our office and speak with one of our intake coordinators at:
Phone: 832.490.8488
Fax: 713.456.2041
Email: info@chayahtherapy.com
Once we receive a referral, one of our coordinators will contact you within 24 hours to update you on the status of staffing the request.
Soon we will be adding an online “real-time” referral search. When this is available, if you would be interested in receiving an update please leave your contact information below.
PATIENT INFORMATION
Complete the information below and submit your referral