Related links
Physical Therapy Board of California - CA.gov
Phone: (916) 561-8200 Fax: (916) 263-2560 document telephone orders from a physician regarding a physical therapy patient was presented.
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THE CLEAR ADVANTAGE
Fax or email this form with physicians information, physician signature and credit card information to 1 (800) 936-6569 or order.entry@djoglobal.com. Page 2
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referral for outpatient physical therapy
REFERRAL FOR OUTPATIENT PHYSICAL THERAPY. FAX to the RUSK BUSINESS OFFICE (212) 263-0113. Date: Physician Order Frequency and Durations: .
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