Physician Referral

At TuDor Physical Therapy only the best treatment and care will do for your patients. Rest assured your patients will be given the same level of care we would extend to our own families. If you would like to discuss a particular patient before referring them to us, please do not hesitate to call us at 330-953-0129.

For your convenience, please use our Patient Referral Request Form below.
You may either:

  • Download this form and fax it to us at 330-953-0650 -OR-
  • Complete the secure, interactive referral form below and submit it to us online.

IN MAKING THIS REFERRAL, PHYSICIAN CERTIFIES THAT PRESCRIBED REHABILITATION IS A MEDICAL NECESSITY. All individuals shall be accorded impartial access to treatment regardless of race, gender, national origin, disability, religion, age, sexual orientation or sources of payment for care.

At TuDor Physical Therapy your patient’s privacy and security are important to us. You can trust that their personal information will be kept private and secure.