Make A Referral

Make A Referral

How to Refer

ADMINISTRATIVE OFFICE
14205 Park Center Dr #204
Laurel, MD 20707

Tel: 301. 776.9443
Fax: 301.853.0096

Hours:
  • 7am-8pm M-TH
  • 7am-5pm Fridays

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

To schedule by email or other inquires:
revenue@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.

Printable Referral Form

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 & 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).