Referrals
Please Complete the Following Fields.
For physician offices, please fax the order for therapy along with other patient information directly to us.
If you are a self referral that has Medicare, please fill out the form and we will contact you as well as your physician to obtain an order before we initiate treatment.
Don’t have Medicare and no referral? No problem, we are a direct access practice. Just give us a call!
Phone: (704) 565-9513
Fax: (704) 235-1922