(800) 605-6030

Make a Referral

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MAKE A REFERRAL

Coordinated through the Authorized Treating Physician and/or an Independent Medical Evaluation (IME) Provider, Functional Capacity Evaluations can offer objective documentation of a patient’s physical capacity to perform work duties. Defined PT Network clinical providers specialize in work capacity evaluation.

Still in the recovery phase? Trust our team to coordinate return-to-work focused outpatient physical rehabilitation and treatment.

Feel free to use the eReferral form below*, or make an assignment by phone or fax. Whatever method is easier for you!

Patient Information

Click or drag files to this area to upload. You can upload up to 2 files.

Adjuster Details

Case Manager Details

Our friendly scheduling team is standing by to assist in coordinating physical therapy and FCE testing.

  • Fax: (800) 401-1289
  • Phone: (800) 605-6030
  • I need an address
  • scheduling@definedpt.com