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.

Start the Process

5 Minute FormThis form will take 5 minutes to complete.

TIRR Memorial Hermann accepts most insurance.

We will respond within the next business day.

Fields with an asterisk (*) are required.

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

Patient Information

Referring Information

Facility & Case Details

Thank
You!

We have received your request to join the TIRR Refer a Patient. A team member will contact you shortly.

TIRR Memorial Hermann
US News and World Report Best Hospitals Badge

Nationally Ranked Rehabilitation


For the 35th consecutive year, TIRR Memorial Hermann is recognized as the best rehabilitation hospital in Texas and No. 2 in the nation according to U.S. News and World Report's "Best Rehabilitation Hospitals" in America.

Learn More