Referring Physicians

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:

  1. Referral for PT with 3D’s
    1. Diagnosis
    2. Duration (if other than eval & treat)
    3. Date
  2. Referral signed by the referring physician and NPI included
  3. Patient’s demographics
  4. Patient’s insurance information
  5. PCP referral if required by patient’s insurance plan

Referrals can be sent via fax or email:

  1. Fax: 817-571-4198
  2. Email:

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