Online Referral Form
Making a Referral
Parents & Caregivers
Making a referral for your child is easy!
Follow the following steps to get started!
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Please have your child's insurance and physician information available.
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Call us at (404) 606-3755. We will gather all the insurance and physician information we need from you to request a doctor's order.
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We will contact your child's doctor and insurance company to request authorization to evaluate your child.
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After the signed orders are received by our administrative team we will contact you to schedule an evaluation.
Physicians & Referral Coordinators
You may submit a referral on our easy to use online referral form below or:
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Fax the referral to (770) 696-1065
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Email the referral to info@fmtherapies.com
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After you submit the referral form below we will contact you to confirm if the referral can or cannot be staffed within 48 hours. It's that simple!
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Call us at (404) 606-3755 or email us at info@fmtherapies.com
7162 Lone Oak Way
Lithonia, GA 30058
info@fmtherapies.com
Tel 404-606-3755
Fax 770-696-1065
Monday - Friday 8:00 am - 5:00 pm
Saturday By appt
Sunday Closed