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REFERRAL FORM Appointments (301)2201333 Fax (301)2154157 www.APMIorthosports.comREFERRING PHYSICIAN INFORMATION Today's Date: Referring Physician Name:UPON/Clinic Name: Referring Office Contact Name:

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Physical medicine and rehabilitation (PM&R) is a medical specialty focused on restoring and improving the functional abilities of individuals with physical impairments or disabilities.

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