Patient Referrals

Use the following form for patient referrals.

Physician Orders

Comprehensive Medical Pain Management ProgramPhysical Therapy,Chiropractic, Injury Specific ProgramPosture and Spinal Correction ProgramIntensive Dietary and Lifestyle Modification Program

Acute PainChronic PainAuto Accident InjuryWorker Comp InjurySports InjuryPre-Operative Physical TherapyPost-Operative Physical TherapyWeight Loss, Metabolic Disorder

Trigger Point InjectionsFact InjectionsLaser Knee ProcedureRhizotomy ProcedureEpidural Steroid InjectionsSpecific Joint InjectionsSpinal Decompression TherapyLaser Therapy Procedure

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