We make the Physician Referral process simple and secure

Partnering With You to Deliver Exceptional Patient Outcomes

At Bolduc Physical/Aquatic Therapy & Sports Medicine, we value the trust you place in us when referring your patients.

For more than 20 years, our team has built a strong reputation for providing individualized, hands-on care that leads to meaningful, measurable results.

We are committed to supporting your clinical goals by offering thorough evaluations, clear communication, and evidence-based treatment plans designed to help your patients return to their best level of function.

Convenient Referral Options

We make the referral process simple and secure

Submit a Referral Online

Complete the secure interactive referral form below to send your patient’s information directly to our team.

Speak With a Therapist

If you’d prefer to discuss a case before referring, or you have a patient with an urgent need, please call us directly at (561) 752-3820. We are happy to assist you and accommodate same-day appointments when appropriate.

Physician Referral Form for Physical Therapy

Company

This field is for validation purposes and should be left unchanged.

Patient Name *(Required)

Patient Phone Number(Required)

Your Email(Required)

Patient Address

Diagnosis

Therapy Prescribed

Days Per Week

Length of Therapy

Insurance

Workers Comp(Required)

Prescribing Doctor Information:

Physician Name(Required)

Physician Phone Number

Date of Patient's Next Appointment

Physician Referrals