Reliable Therapy Staffing for Home Health Agencies

Licensed OT, PT, SLP & MSW Clinicians — Ready to Serve Your Patients, Wherever They Are

Therapy That Restores,That Strengthens,Care That Heals | Trusted Staffing

Empowering Healthcare with Skilled Professionals

At Humane Care Therapy Inc., we understand that the foundation of exceptional patient care lies in the hands of skilled and compassionate professionals. That’s why we specialize in providing top-tier Occupational Therapy (OT), Physical Therapy (PT), Speech Therapy (SLP), and Medical Social Work (MSW) staffing solutions tailored to meet the unique needs of home health agencies in Houston, Texas and surrounding areas.

Our Commitment to Excellence

With a deep-rooted understanding of the healthcare industry and the critical role that therapists play in patient recovery, we are dedicated to connecting home health agencies with the right talent. Our therapists are not only highly qualified but also passionate about making a difference in the lives of their patients.

Customized Staffing Solutions

We offer flexible staffing options to ensure your agency maintains the highest standards of care without compromise. Our team works closely with you to match the right clinician to each patient’s needs.

Our staffing solutions are designed for home health agencies of all sizes, from single-location practices to multi-county operations. We currently serve agencies across Houston and more than 200 communities throughout Southeast Texas — and we’re growing every day to meet demand.

Why Partner with Us?

Advanced Electronic Medical Records

Utilizing Wellsky (formerly KINNSER) Electronic Medical Records, we ensure that all client information is managed with the utmost accuracy and efficiency. This technology allows us to streamline processes, minimize errors, and provide seamless, coordinated care for your patients.

Experienced and Licensed Professionals

Our therapists are fully licensed, insured, and have undergone rigorous screening to guarantee the highest level of competency and professionalism.

Therapist-Owned Expertise

As an occupational therapist-owned and operated company, we bring a deep understanding of the challenges and rewards of the profession. This insider knowledge allows us to create a supportive environment where our therapists can thrive, ensuring their satisfaction and optimal performance.

Individualized Care, Compassionate Support

We understand that every patient is unique, and we take pride in offering personalized therapy services that cater to their specific needs. Compassion is at the heart of everything we do, ensuring that every individual feels valued and supported throughout their care journey.

Seamless Integration

We prioritize smooth transitions and continuity of care, providing therapists who are ready to integrate into your team and hit the ground running.

Quality Assurance Compliance

We adhere to stringent Quality Assurance (QA) protocols, ensuring that all home health notes comply with Medicare, Medicaid, and Private Insurance laws. This commitment to regulatory compliance guarantees that your patients receive the highest standard of care while protecting your agency from potential liabilities.

Let’s Work Together

Partner with us to ensure your patients receive the highest quality care from the best professionals in the field. Contact us today to discuss your staffing needs and find out how Humane Care Therapy Inc. can support your agency’s mission of providing exceptional home health care services.

PATIENT REFERRAL FORM
HUMANE CARE THERAPY INC

Mailing Address: 9119 Hwy 6 Suite 230-117, Missouri City, Texas 77459-4876

Office Phone: 281-619-3771 | Fax: 832-440-0483

Email: therapy@humanecaretherapy.com

Please complete all sections below and include a copy of last progress/visit note, medication list and past medical history

    Referring Agency Information

    Date

    Name of Agency *

    Email of Agency *

    Contact Person *

    Telephone *

    Used for referral coordination only — not for SMS messaging.

    Fax *

    Patient Information

    Patient's Name *

    Patient's Date of Birth *

    Patient's Address *

    City *

    State *

    Zip Code

    Patient's Telephone No *

    By providing this number, you confirm you are authorized to share it for care coordination purposes.

    Age

    Gender *

    Primary / Secondary Diagnosis and/or Therapy Diagnosis *

    Emergency Contact

    Emergency Contact Telephone

    Medicare No | Medicaid No

    Certification Period

    Services Required *

    Timing of Evaluation *

    Referring Physician Information

    Referring Physician Name *

    Referring Physician Telephone *

    Referring Physician Address *

    Referring Physician NPI *

    Special Notes and Instructions

    Document Upload

    Please upload any available referral documents to help us process this case faster. You may submit the form even if all documents are not yet available.

    Recommended Documents (If Available)

    Last Progress / Visit Note

    Most recent visit or progress note, if available.

    Medication List

    Patient's current medication list, if available.

    Additional Supporting Documents

    Past Medical History

    Include if it helps with evaluation or care planning.

    Additional Documents

    Examples: referral order, face sheet, insurance info, or other relevant records.


    Alternatively, you may submit this referral now and fax any supporting documentation to (832) 440-0483. Our team will review all received materials and reach out if anything further is needed.

    Consent & Authorization

    ⚠️ Confidentiality Notice: This form and any attachments are intended solely for Humane Care Therapy Inc. and may contain confidential PHI protected under HIPAA. If submitted in error, please contact us immediately at (281) 619-3771 or therapy@humanecaretherapy.com.

    ⚠️ Confidentiality Notice: This form and any attachments are intended solely for Humane Care Therapy Inc. and may contain confidential PHI protected under HIPAA. If submitted in error, please contact us immediately at (281) 619-3771 or therapy@humanecaretherapy.com.

    This facsimile message, including any attachments, is intended solely for the recipient(s) and may contain confidential or privileged information. Any unauthorized review, use, disclosure, or distribution is strictly prohibited. If you are not the intended recipient, please notify the sender immediately by telephone and delete all copies of this message.

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