Patient Resources

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


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.


Complete the information below and submit your referral

Time of Day
Primary Language *
Service(s) Requested *

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