FAQs
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Do I need a referral from my doctor before attending Physical Therapy?
New Direct Access Legislation Starting September 1, 2025
House Bill 4099 allows Texans to receive up to 30 consecutive calendar days of PT treatment without a referral, regardless of the therapist’s education level.
Do I need a referral from my doctor before attending Occupational Therapy?
Generally, yes. According to the OT Rules §372.1. Provision of Services, occupational therapists may evaluate the client to determine the need for occupational therapy services without a referral. However, a referral must be requested at any time during the evaluation process when necessary to ensure the safety and welfare of the client. Intervention for a medical condition by an occupational therapy practitioner requires a referral from a licensed referral source.
The evaluation or intervention for a non-medical condition does not require a referral.
How do I send a physician's or doctor's referral?
Neurability Therapy accepts a physician referral by fax 281-270-5704 or by secure email at admin@neurabilitytherapy.com from your provider. We will need the signed prescription within days of your referral or have the signed referral available for the therapist at your first visit.
The referral must be from a licensed referral source in accordance with the Occupational Therapy Practice Act §454.213.
What insurances do you accept?
Neurability Therapy is an out-of-network provider. We operate as a cash-based or self-pay care system to prioritize the client by taking out the constraints of insurance. This allows the therapist and client to have complete autonomy over the decision of the plan of care, frequency, duration, location, and type of treatment while providing high-quality one-on-one treatment. If you would like to self-submit to your insurance company for reimbursement, we are happy to provide a super bill with all the information necessary for you to submit.
What is a Good Faith Estimate?
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, healthcare providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services or items. This includes related costs like medical tests, visit and procedure fees, and medications/birth control costs.
If you schedule your service three business days in advance, you will receive a Good Faith Estimate in writing at least 1 business day after you scheduled your visit. You may also ask for a Good Faith Estimate in advance of scheduling the visit.
The Good Faith Estimate shows the estimated cost of services that are reasonably expected for your health care needs for the service. The estimate is based on information known at the time the estimate was created and based on the reason for your visit.
The Good Faith Estimate does not include any unknown or unexpected costs that may arise during your visit.
HHS regulations establish that when the billed charges for any provider or facility are in excess of the good faith estimate for that provider or facility by $400 or more, the item or service may be eligible for payment determination by an SDR entity through the PPDR process.
What kind of payment do you accept?
Neurability Therapy accepts the following forms of payment: ACH transfer, cash, check, Zelle, and credit card via our online electronic medical record portal.
Credit card charges will have a 2.86% processing fee per payment.
What is a super bill?
A superbill is a document that shows a list of services provided during your treatment session(s). You can contact your insurance company and ask if you have out-of-network benefits. If your insurance confirms that you have out-of-network benefits, you will be reimbursed for a portion of the costs you pay out of pocket. You will need to talk to your insurance company about the process of submitting your superbill.
Is there anything I can do before my appointment to prepare?
Yes! Make sure you complete the necessary paperwork prior to your first visit, which is sent to your primary email address on file. This paperwork includes:
- Patient Agreement
- Consent to Services
- Notice of Privacy Practices
- HIPAA Acknowledgment
- Release of Information
- Good Faith Estimate
- Medical History & Questionnaire
- Dry Needling Addendum (if applicable)
- Photo & Video Release (optional)
- Advance Beneficiary Notice of Non-Coverage (if applicable)
What is the difference between traditional home health and private home therapy?
With private home therapy, we have the freedom to choose the local location of our sessions, whether at home, in the park, at the grocery store, or elsewhere. While we do provide services in the home, you do not have to be homebound to qualify for private home therapy services, unlike standard home health agencies.We also offer private clinic therapy, which allows us greater flexibility to achieve your goals.
By receiving personalized occupational therapy in the comfort and familiarity of your own home, you can expect to experience:
- Convenience and continuity of care in a familiar environment
- Reduced stress and disruptions associated with travel to clinical settings
- Personalized, one-on-one attention from experienced therapists
- Customized treatment plans tailored to your specific needs and goals
- Guidance on using adaptive equipment and implementing home modifications
- Comprehensive home safety evaluations and accessibility recommendations
- Opportunities for family education and caregiver support
- A seamless transition from clinical settings to daily routines
What techniques are used during treatment?
Depending on the individual’s needs, goals, and clinical presentation, treatment sessions may incorporate a variety of advanced neurorehabilitation techniques and interventions, including:
- Functional and mobility training
- Gait, balance, and coordination training
- Self-care and daily activity retraining
- Neuromuscular re-education
- Manual therapy and soft tissue techniques
- Joint and tissue mobilization
- Fundamental isolated muscle exercises
- Functional electrical stimulation (FES/NMES)
- Biofeedback to support muscle activation and motor retraining
- Advanced electrical stimulation to promote engagement of spinal and neurological pathways
- Spasticity management, including positioning, serial casting, and splinting
- Whole-body vibration therapy
- Dry needling
- Taping techniques (leukoptaing, kinesiotaping)
- Compression therapy
- Red light therapy
- Vestibular and sensory treatment
- Gua sha and instrument-assisted soft tissue techniques
- Caregiver education and home program development
- Equipment recommendations and environmental modifications
Every treatment session is individualized and may combine multiple techniques to support functional recovery, independence, mobility, and participation in meaningful daily activities.

