Click Here to Download Referral Form
Barkman & Smtih Physical Therapy wants to help your patients.
Here is what we need to to schedule their evaluation:
- Referral for PT with 3D’s
- Diagnosis
- Duration (if other than eval & treat)
- Date
- Referral signed by the referring physician and NPI included
- Patient’s demographics
- Patient’s insurance information
- PCP referral if required by patient’s insurance plan
Referrals can be sent via fax or email:
- Fax: 817-571-4198
- Email: info@barkmanandsmith.com