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Doctor Physical Therapy Referral Form For usage by both patient and doctor. Doctors: You may refer a patient to us by printing our referral form and faxing it to (312) 9628855. If you prefer you may
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What is Doctor Physical Therapy Referral Form?

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A doctor physical therapy referral is a document provided by a medical doctor to a physical therapist recommending therapy services for a patient.
A medical doctor or primary care physician is required to file a doctor physical therapy referral.
The doctor physical therapy referral should include the patient's name, date of birth, medical history, diagnosis, treatment plan, and any other relevant information.
The purpose of a doctor physical therapy referral is to recommend physical therapy services to help a patient recover from an injury or improve their overall health.
The doctor physical therapy referral must include the patient's personal information, diagnosis, treatment plan, and any other relevant medical details.
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