Make a Referral
Have the following information available when making an Inpatient or Day Rehabilitation referral:
Date of birth
Family contact information
Referring person's contact information
Date wishing to transfer
Patient’s current medical status
Outpatient Rehabilitation Program
To refer a patient for outpatient rehabilitation at one of our nine locations, please fax a physician prescription form to the number listed on the form for the service you are prescribing.
Include the following information on your prescription:
- Patient name
- ICD9 and treatment needed
- Physician name, phone and fax numbers.
Advise the parent to call 404-785-7100 to make an appointment. Parent must know medical diagnosis and services needed to schedule appointment or use our online request an appointment (solicitud de cita) form.
If referring a patient to Hand & Upper Extremity Therapy, please ask the parent to call 404-785-4611.
If you need assistance identifying the appropriate outpatient therapy resources for your patients, please call our Rehab Case Management department at 404-785-8754.
To request more order pads for your office, complete our online form.