(214) 819-8012 Dallas / Fort Worth
(214) 819-8012 Dallas / Fort Worth
patient Referral form (MD, DO, DPT, PT, OT)
Physicians/ Therapists
Physicians/ Therapists
Please fax the following to our office:
(1) Prescription
(2) Patient Face Sheet
(3) Most recent patient clinical note
NOTE: Patients must have a current prescription with diagnosis from the referring Physician to be evaluated.
Phone (214) 819-8012 Fax (214) 819-8047
Business Hours
Mon | 09:00 am – 04:00 pm | |
Tue | 09:00 am – 04:00 pm | |
Wed | 09:00 am – 04:00 pm | |
Thu | 09:00 am – 04:00 pm | |
Fri | 09:00 am – 12:00 pm | |
Sat | Closed | |
Sun | Closed |