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Physicians

Referring Physicians and Nurse Case Managers

Referral Form

At Barkman & Smith Physical Therapy, we appreciate referrals from physicians and nurse case managers. That’s why we have implemented procedures to make the referral process as quick and easy as possible.

If you are a physician or a nurse case manager who would like to refer a patient to our office, we ask that you follow these instructions:

  1. To refer a patient to our clinic, please call our office at (817) 283-9435.
  2. Please have the following information available: the patient’s name and phone number, diagnosis, doctor’s name and patient’s type of insurance. We will let you know of available appointment times and can make an appointment over the phone.

OR

  1. You may fax the prescription/referral form above to (817) 571-4198. 
  2. If available please include the patient’s name, contact number, diagnosis, doctor’s name and patient’s type of insurance. We will contact your patient to schedule

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Lower Back Pain

Lower Back Pain

Neck  Pain

Neck Pain

Knee Pain

Knee Pain