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Physical Therapy Referral Form

Use our Physical Therapy Referral Form to help you improve communication, streamline referrals, and ensure your patients receive the highest quality of care.

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By Matt Olivares on Aug 2, 2025.

Fact Checked by Nate Lacson.

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Physical Therapy Referral Form Template

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Commonly asked questions

There are several reasons why Physical Therapy Referral Forms are done. They ensure that the referred therapist has access to all of the information they need to treat a patient appropriately. While this process can be completed through a phone conversation or remote messaging, using a form is more efficient and time-effective. Physical therapy referral forms also enable patients to have their sessions covered by insurance, as many providers require referrals for coverage to be applied.

Physical Therapy Referral Forms need to be completed when you refer a patient to a physical therapist. This usually occurs during a session with a patient, so you can complete the form and give them a copy.

While the specific regulations regarding who can see a physical therapist and whether this is covered by insurance will depend on the state where you reside, generally, you don't need a referral. If the patient knows that they need to see a physical therapist and they have a specific practice in mind, then they can skip the referral process and book an appointment.

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