Northwest Therapy Center
1115 N Northgate Way, Seattle, WA 98133
Phone: (206) 525-1010, Fax: (206) 523-9101 http://www.NorthwestTherapyCenter.com

Referral Forms

How do I refer my patients?

  1. Check patient qualifications
  2. Download the referral forms below or call (206) 525-1010 for hard/fax copies
  3. Send a completed referral form or a prescription by fax to (206) 523-9101
  4. Please include diagnosis(es) and pertinent records when faxing the referral or prescription

Pulmonary Rehabilitation Services Referral Form (doc)

Physical Therapy Referral Form (doc)

Please contact us if you need more information.