Make a Referral

Referrals are available for patients age 7 to 21. To refer a patient to our Sports Medicine Program, write a prescription for physical therapy or sports medicine and include:

  • Diagnosis
  • Request from physician to evaluate and treat (or specific protocol if available)
  • Length of treatment (Example: Two times a week for four weeks)
  • Physician signature

After the patient is referred, the patient, parent or legal guardian should call one of our locations to set up an appointment.

Fill out the form below to order pads for referring patients to our sports medicine specialists.

Prescription pad request form

Request an Inservice

Our team is pleased to share information and guidance with your team, simply fill out the appropriate online request form below.

Sports medicine inservice request