Patient Referrals

Did you know that you have the right to choose the physical therapist of your choice?

Just print these pages and take them with you to your doctor, or give them to a friend to take to the doctor to fill out and sign. It is that easy!

   Patient Referral Form

If you refer someone to our clinic just fill in your name and email Address in the referral box on the second page and then have your friend bring the patient PT Prescription Form with them to have the doctor fill and sign or tell their doctor they would like be referred to SWOPT and we will give you a small gift with our sincere thanks.