Information Needed to Refer

Workers' Compensation

Please have ready:

  1. Claim number.
  2. Physician's referral and/or script.
  3. Written or verbal pre-authorization.

Functional Capacity Evaluations (FCE), Work Conditioning and Work Hardening

Please have ready:

  1. Claim number.
  2. Physician's referral and/or script.
  3. Written or verbal pre-authorization.
  4. Job description.
  5. Claimant's health history.
  6. Functional Capacity Evaluation (FCE) (Work Hardening/ Conditioning only).

Motor Vehicle Accidents and Liability Claims

Please have ready:

  1. Claim number.
  2. Physician's referral and/or script.
  3. Auto Accident- Patients with PIP will be required to give health insurance information (Please see our Insurance list).

Online Referral Form

(Click Here)

Printable Referral Forms

(Click Here)

ADMINISTRATIVE OFFICE
3311 Toledo Terrace Suite A-1
Hyattsville, MD 20782

Tel: 301. 853.0093
Fax: 301.853.0096
Hours: 8:00am-5:00pm

BILLING & MEDICAL RECORDS
Tel: 301.853.0093
Fax: 301.853.0096
Hours: 8:00am-5:00pm

To schedule by email or other inquires:
jbernard@camphysicaltherapy.com

All patients will be scheduled within 24 hours pending verification/authorization of insurance. We verify all patients' physical therapy insurance benefits, workers' compensation claims and MVA PIP benefits.