Make a Referral

to Outreach Physical, Occupational and Speech Therapy

If you are a medical professional and wish to refer a patient for care, please complete the referral form, and fax it to us, along with patient insurance information.

Click Here for Referral Form

Click Here for Outpatient Clinic Referral Formor you may simply fax a prescription.

Note: If only faxing a prescription, please specify if want your patient to receive therapy in their home or in our office clinic.

Ways of contacting Outreach:

  • E-mail info@outreach-rehab.com.
  • Fax all referrals to 917-591-8494
  • Call us at 212-842-0080 for further information.

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