• Kailua Clinic
  • Kaneohe Clinic
  • W.O.R.C.
  • Honolulu Clinic
  • Aquatic Clinic
Fukuji & Lum Physical Therapy
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    • New Patient Info and FAQs
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  • Physical Therapy
    • Aquatic Physical Therapy
    • Work Hardening & Conditioning Programs and FCE testing
    • Pelvic Health Program
    • Specialty Services
      • Massage Therapy
      • APEX (Advanced Performance & EXercise) Programs
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PATIENT REFERRAL FORM

Fukuji & Lum Physical TherapyNew Patient Information and Frequently Asked QuestionsPATIENT REFERRAL FORM
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

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About Us
Our Ohana
Our Culture
Our Services
Careers
Northeastern University
Blog
Contact Us
LOCATIONS
  • Kailua Clinic
  • Kaneohe Clinic
  • W.O.R.C.
  • Honolulu Clinic
  • Aquatic Clinic
Services
Physical Therapy
Aquatic Therapy
Work Hardening / Conditioning / FCEs
Pelvic Health
Massage Therapy
APEX (Advanced Performance & Exercise) Programs
Copyright © 2018 Fukuji & Lum. All rights reserved.