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Universal Home Therapy
12919 Southwest Freeway #138 Stafford, TX 77477 US
Phone: 281-565-1277 Website: http://www.universalhometherapy.com/
OFFICE HOURS
Monday-Friday: 8AM-4PM

Universal Home Therapy
12919 Southwest Freeway #138
Stafford, TX 77477

P: 281-565-1277
F: 281-565-0817

For Home Hemodialysis Patients 


Please download our Admissions Checklist below. The information included in this checklist is needed to process your requested admission.
 



Fax to: 281-565-0817

*This information is secured according to HIPAA standards and requirements.

Universal Dialysis, LLC  is licensed by the Department of Aging and Disability, the founding company of Universal Home Therapy. We provide Home Health Care and Home Hemodialysis with a staff-assisted RN/LVN.

INTAKE REFERRAL FORM


Please complete this Intake Referral Form for your patient.  Fields marked with a red asterisk(*) are mandatory & require a complete submission.  When finished, click the SUBMIT button & our Intake Referral Coordinator will contact you within 24 hours.