Submit Referrals

Simple Referral Process

If you would like to make a referral, please complete the short form referral below and click submit. Or, you can print or download the printable referral form by clicking on: Printable Referral Form and fax it to (850) 215-1942 .

We DO NOT take Aetna, Ambetter, or Capital Health Plan (CHP). If you have more than one insurance, add both and specify which is primary and which is secondary.
Please provide insurance policy number. If there is more than one insurance policy, provide each policy number and specify which insurance it belongs to.
Please use date formate mm/dd/yyyy

We have you covered 

Florida Therapy Services covering more area of Florida then any other provider in the state.

When Experience Counts

( CARF ) Commission Accreditation Rehabilitation Facilities: Accredited Programs

Caring Staff

Customer Service is our first priority, because you are the reason we are here.

Want to check the status of your referral? Contact us:

Please call our Central Referrals Department:
Dial (850) 215-1946 or (877) 234-5351

Referrals fax number: (850) 215-1942