Physician Resources

For Physicians

We make referring your patients to ARI Physical Therapy simple. Order referral pads, download the form, or send referrals directly by fax.

Referral Forms

Two Ways to Get Our Referral Pad

Whether you need a fresh supply of printed pads or just a quick form to send right now, we've got you covered.

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Order Referral Pads

Need a new supply of our printed referral notepads? Fill out the quick form below and we'll have them delivered to your practice. No cost to you.

Order Pads →

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Download & Print the Form

Need to send a referral right now? Download our referral form as a PDF, print it, complete it, and fax it to us at (661) 727-0005.

⬇ Download PDF

Request Referral Pads

Order Your Pads

Physician Name *

Specialty

Practice / Clinic Name *

Delivery Address *

Phone Number *

Fax Number

Email Address *

Quantity Requested

Additional Notes

Orders are typically fulfilled and delivered within 3–5 business days.

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Order Received!

Thank you, Doctor. We'll process your referral pad order and have them delivered to your practice within 3–5 business days. Questions? Call us at (661) 282-8584.

What We Treat

Our Specialties

We accept referrals across a wide range of conditions. View full service descriptions →

🦴 Orthopedic Rehabilitation

⚡ Sports Injury Recovery

🏥 Post-Operative Care

💊 Chronic Pain Rehab

🩺 Pelvic Pain

👶 Pediatric Rehabilitation

🤰 Pre / Post Partum Rehab

💪 Health Programs