For Physicians & Healthcare Providers

Simple, Specialized Referrals for Occupational Therapy

Our team partners with physicians, surgeons, oncologists, wound care specialists, and healthcare providers to deliver expert mobile occupational therapy throughout the Northwest Metro. We make referrals simple, communicate throughout the plan of care, and help your patients achieve better outcomes.

Referring to Adaptify is Easy!

Submit This Short Form Below. All information collected is transmitted and secured in a HIPAA compliant manner.

Physician Referral Name *

Clinic/Hospital Name *

Patient First Name *

Patient Last Name *

Patient Phone *

Patient Date Of Birth

Please Use MM/DD/YYYY

Diagnosis and Clinical Notes *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 3 Files )

Upload Demographics / Insurance *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 3 Files )

Upload Scripts *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 3 Files )

Get In Touch

Call or Text us: (612) 913-9565

Phone : (612) 913-9565

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Price Transparency Policy

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MEDICAL DISCLAIMER:

All information on this website is intended for instruction and informational purposes only. The authors are not responsible for any harm or injury that may result. Significant injury risk is possible if you do not follow due diligence and seek suitable professional advice about your injury.

No guarantees of specific results are expressly made or implied on this website.