Physician Referrals For Physical TherapyPhysician Referrals

We’re ready to work with you and your patients. Please complete the Physician Referral form below to facilitate your referral or download our PDF version.

New patients can be seen within 24-48 hours. IRG works will all major insurance plans; we will also verify benefits for each patient before the first appointment. Our IRG therapists will communicate regularly with you to report progress. We are known for our exceptional care, outstanding service, and results-oriented, evidenced-based outcomes.

With clinics throughout the Puget Sound region and beyond, our therapists are ready to work with you and your patients on their path to optimal function, mobility and relief from pain.

Patient Referral Form

Physician Name (required)

Patient Name (required)

Patient Phone (required)

Patient City

Patient Diagnosis (required)

Patient ICD10

Injury Date

Surgery Date

Specific Treatment (required)

Treatment Frequency

Physician Recheck Date

Where would you like your patients to go to?

To Avoid Spam, please enter the letters and numbers as seen above

Please click on the button above to submit your referral. We respect your privacy and your patients privacy and do not share any content sent to us and will use for company purposes only.