Referral Forms

There are two ways of visiting Cypress Therapy Center. Ultimately, we need a referral from your primary care physician before we can begin therapy.

Referring Yourself

If you think you can benefit from our unique approach to rehabilitation, please contact us. We are more than happy to answer your questions and let you know if you qualify. If you sound like you may qualify, we will schedule a free evaluation with our therapist to confirm your eligibility.

Referring Your Patient

Physicians, please click below for an appropriate printable Prescription form that you can fill out for your patient(s) and fax back to us. We can then call your patient to schedule an appointment. Your patient can then bring the original Prescription form with them to our office at the time of their first appointment.

Forms Coming Soon

  • Test again