Referrals

For your convenience you may download a referral form for your patient to bring with them to their evaluation. You may also fax this referral along with the patient's phone number and we will be happy to contact them to schedule their intial evaluation. The patient may also download, complete, and print their intake paperwork located on the "Your First Visit" tab above.

Physician Referral Form

Your patient may call either location to schedule an appointment.

Twin Falls Office: 

Phone: (208) 734-5313

Fax: (208) 736-1582

Buhl Office:

Phone: (208) 543-8887

Fax: (208) 543-8887

Thank you for your referrals.  We will treat your patient with care and report back to you after the evaluation. If you would like some of our referral pads mailed or delivered to your office please complete the form below or email us at wendy@cprtherapy.org

Company Name *
Address 1 *
Address 2
City *
State *
Zip Code *
Phone Number *
Referral Pads (24 each) *
Comments / Instructions
  * mandatory fields