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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
Referral to Physical Therapy should be in writing and signed by the primary provider. Referral can come from a family physician, an internal medicine physician, a urologist, an OB/ GYN, a Urogynecologist, a surgeon, a Physician's Assistant, a Nurse Practitioner and any other medical specialist.
Components of a Physical Therapy Prescription A written explanation of the chief complaint or reason for the need for physical therapy intervention. Recommended frequency of treatment. Authorized length of the plan of care. Name, signature, and license or identification number of medical practitioner authorizing care.
Legal Framework in California This law allows you to receive physical therapy services directly, provided the treatment extends for no more than 45 days or 12 visits, whichever comes first.
A licensed physical therapist shall immediately refer a person being treated by the licensed physical therapist to a provider of care if the person exhibits symptoms: • That require treatment or diagnosis by a provider of medical care.
In Minnesota, you can make an appointment with a Physical Therapist directly, without a physician's referral. Physical therapists are often assisted in the clinic by physical therapist assistants, who are trained to provide treatment in collaboration with the physical therapist.
Why Refer to Physical Therapy. There are many reasons why a person might need PT. The most common patient complaint is pain, and approximately 75% of all patients referred to outpatient PT have pain as their primary symptom.
Building relationships with other therapists is a great way to build your client base — and a client referral network. When another therapist is full or can't see a potential client for another reason, they may refer the client to you.
Best Practices for Making a “High-Value” Referral. Once the physical therapist determines that a referral is appropriate, there are several best practices to ensure a “high-value” referral scenario and improve the continuity of care.
Leave a signature. Include both addresses. At the top of the letter of referral, include your address, contact information, the date and address of the recipient. Write a brief introduction. Give an overview of the applicant's strengths. Share a story of the applicant. Add a closing statement. Leave a signature.