Referral Protocol
Please Include:
Patient name, date of birth, guardian contact info, “PT Eval & Treat,” and physician signature.
Once the referral is received…
We call the family within one business day and send the evaluation report and updates to the referring provider.
When is a referral needed?
No referral is needed for:
Free consultations
Evaluations
Educational/wellness sessions
Treatment sessions scheduled within the initial 10 consecutive business days of the PT evaluation.
Referral is needed for:
Treatment sessions scheduled 10 consecutive business days after the PT evaluation.
If you plan to self-submit to insurance, check your plan's requirements. Many insurance providers require a physician referral for physical therapy reimbursement, even when referral is not required by Texas law.