To Referring Providers For your convenience, you may download our physical therapy prescription and fax it to our clinic. We also have maps of our locations and flyers on some of our specialty services. Physical Therapy Referral Form Therapy Prescription / Referral Form Pelvic Health Referral Form Pelvic Therapy Prescription / Referral Form Therapy Clinic & Pool Maps Clinic & Pool Maps Flyers Work Injury Rehab Services Pelvic Health Aquatic Therapy Pediatric Aquatic Therapy