Make a Referral

to Outreach Physical, Occupational and Speech Therapy

Medical professionals wishing to refer a patient for care may complete and fax the referral form. Alternatively, you can also send your standard prescription or EMR-generated prescription. If you are a patient seeking care, please share the referral form with your healthcare provider for them to send it to us.

Click Here for Referral Form

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

Contact Outreach Physical Therapy and Rehabilitation:

Fax referrals: 201-604-7194
Phone: 212-842-0080 for inquiries.

Request More Information