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Refer a Patient

Appointments are available now. Please fill out the form below or place one convenient call to our Rehabilitation Solutions Call Center: 1 (800) 44-REHAB (73422) or (713) 797-5942.

The information collected in this form will be used to coordinate rehabilitation services for your patient.

The Rehabilitation Solutions Call Center schedules appointments for inpatient rehabilitation, outpatient medical clinic and outpatient rehabilitation.

Looking to refer someone you know?

This form is intended to be used for physicians and health care professionals referring patients to TIRR Memorial Hermann. If you are an individual, family member, friend or caregiver, please click the button below to submit a Become a Patient form.

BECOME A PATIENT ยป

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5 minute form

This form will take 5 minutes to complete.

TIRR Memorial Hermann accepts most insurance.

We will respond within the next business day.

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Patient Information

Referring Information

Facility & Case Details

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