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!

MAKE A REFERRAL

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Patient Information

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

Adjuster Details

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Case Manager Details

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

Contact: