Physician Referrals

If you do not use our referral form, please be sure that your referral is legible and includes:

• Patient name & date of birth
• Patient contact information
• Patient diagnosis/suspected diagnosis
• What type of treatment or appointment is being requested (MD consult, speech therapy, occupational therapy, etc)
• The referring physician’s printed name, signature, and date
  • Referrals expire after 90 days, please be sure to send a non-expired referral

Please direct your patients to our website begin the intake process.