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Uploaded Files:

    Referrals

    Please complete the patient referral form to the right. We require you enter at least the patient's first name, last name, contact number, and the case manager's or adjuster's name and contact number. These fields are indicated by *.

    Offline

    If you prefer, you can download the PDF version of the form to fill out offline. Then send us the filled out form (see below).

    Or fax it to:

    786.227.6708 in the Miami area
    or 888.960.9705 outside the 305/786 area code

    Or email it to:

    Referrals@MiamiRehabLLC.com