Send a referral or inquire about services

New client referrals and service inquiries are welcome. Phone/Text: (248) 284-3544 ยท Email: a.welch@neurohausrehab.com

New Client Referrals: nurse case managers, physicians, and Auto No-Fault / Workers' Comp adjusters are welcome to send a referral.

Service Inquiries: clients and families can ask about our home-based neurological OT services.

Please use the inquiry form below, email a.welch@neurohausrehab.com, or call/text (248) 284-3544.

SEND A REFERRAL OR INQUIRE

Referral & inquiry form

Physicians, case managers, adjusters, attorneys, and families are all welcome. Tell us who you are, the client's coverage (Auto no-fault / PIP, Workers' comp, or not sure yet), and referral details. We respond within one business day. Please don't include medical records or other protected health information here; we'll provide a secure way to share records.

Privacy and sharing of information - Required

This form is not for health information, and I consent to my contact information being used to respond to my inquiry. My message will be sent to this clinic via unencrypted email. Do not include symptoms, diagnoses, medications, or other sensitive details.
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