Make a Referral

Health professionals may make a referral to HARC by calling 713-781-7100. Ask to speak to a Speech-Language Pathologist for more information. Please fax our completed referral form to 713-781-7105. Including a copy of a discharge evaluation from a licensed Speech-Language Pathologist, Neuropsychologist or the Applicant's Rehabilitation Physician is preferred.

Candidates with aphasia referred to HARC will be required to participate in an initial tour of our facility and to meet with one of our Speech-Language Pathologists. At this time we will determine if additional medical records will be requested, and appropriate forms must be completed before they are considered for our program.

Candidates may bring a completed Release of Information form to the initial tour/meeting.

If the candidate/family needs financial assistance and qualifies for our sliding-fee scale, a scholarship application will be provided at this time, if requested. Once requested financial information is provided, HARC will then consider the request for scholarship.

Once the Speech-Language Pathologist has reviewed all reports and completed the screening process, we will notify the candidate/family and set up an appointment for our Introductory Program. This is a prerequisite to becoming a HARC participant. The Introductory Program includes a 3-4 hour individualized assessment process and additional training for caregivers and participants in Supported Communication for Adults with Aphasia.

Forms:

HARC Referral Form (.pdf)

HARC Release of Medical Records Form (.pdf)

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