See below for referral form

  • I accept many major insurances and Medicare/Medicaid. I am also willing to work with the client if financial issues arise. With Medicare and a secondary insurance, there should not be any out of pocket cost for the client.
  • I come to the client’s home but I do have access to office space if necessary. I can visit Assisted Living facilities but not Nursing Homes. I serve Dallas and Collin counties but am open to other requests.
  • A physician's order is not necessary for services. Referrals are welcome from all sources. Please feel free to call or email with questions.

A referral form can be printed and faxed to secure fax 972.426.6987.

Click here for form.

Or fill out the information below:

Name of referral source *
Name of referral source
Referral phone #
Referral phone #
Name of potential client
Name of potential client
Client phone #
Client phone #