Prescription Forms

Referring a patient to Hand Therapy Specialists is easy!

In order for the patient’s insurance to pay a physician’s order is required.  Simply provide the patient with a prescription on either yours or ours, letting us know what you would like us to do.  The patient can call us directly or you may call us to provide the phone number and we will gladly call them.

You will always get a live receptionist between the hours of 8:00 to 12:00 and 1:00 to 5:00.

Referral Prescription Form

Referral sources may download a PDF printable version of our Prescription Form.
Please call 503-224-9270 if you have questions regarding this form.