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Physician Referrals

To refer a child for pediatric therapy services please fill out the form below or download and submit the physician referral form and our team will begin the process immediately.

Questions? Our friendly Sage Care Therapy representatives are available to help you each step of the way. Just call (214) 295-5374.

Se Habla Español – Llame a nuestra oficina para contactar a un vocero familiar y representante de traducción.

Download the patient referral form

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Physician Referral Form Download

  1. Download the physician referral form PDF.
  2. Fill out and save the PDF form using Adobe Acrobat or Mac Preview.
  3. Return the PDF digitally to us by uploading it below or print and mail or fax it to our office below.

Mail:
6301 Gaston Ave Ste. 750
Dallas, TX 75214

Fax: (214) 245-5217

Fill out and submit our online form