Professional Referral Form
Coordinated Support for Physicians, Caregivers, and Care Teams
Refer a patient for in-home physical therapy, occupational therapy, or aging-in-place support. Opt2Restore partners with physicians, discharge planners, hospitals, and care teams across Nassau County, Suffolk County, and New York City to deliver safe, coordinated care at home.
- Reviewed within 1 business day
- Doctor of Physical Therapy led
- Medicare Part B & private pay
Referral inquiry form
Please do not include emergency information in this form. If someone is experiencing a medical emergency, call 911. Share only the details needed to route the referral; our team will follow up for anything further.
Clinical Referral Pathways
Clinical Referrals for Healthcare Professionals & Community Partners
Submit a secure Opt2Restore C.A.R.E. Signal to flag high-risk, complex, or discharge-sensitive situations requiring clinical and environmental review.
For Patients & Families
Support for safe mobility, home access, and continued living in the community.
Request Clinical SupportFor Facilities & Community Settings
Clinical safety, accessibility, and modification guidance for facilities and community environments.
Request Facility ConsultationReferral Overview
Who We Work With & What to Expect
Clear referral pathways, structured care coordination, and clinically guided support from start to finish.
Who Can Refer
- Physicians & Medical Practices
- Home Care & Companion Agencies
- Case Managers & Care Coordinators
- Hospitals & Skilled Nursing Facilities
- Elder Law & Financial Professionals
- Community & Aging-Focused Organizations
Services Available
- In-Home Physical Therapy (Medicare Part B & Private Pay)
- Aging-in-Place & Home Safety Assessments
- Home Modification Consulting
- Ergonomic & Functional Assessments
- Private Pay Wellness & Maintenance Programs
What Happens Next
- Referral reviewed within 1 business day
- Client contacted to discuss services and scheduling
- Care coordinated as appropriate
- Confirmation provided to referring partner
- Structured clinical documentation aligned with partner workflows
Why Opt2Restore
- Doctor of Physical Therapy led care
- Aging-in-place & mobility expertise
- Concierge-level communication
- Evidence-based, individualized care
Coordinated Care
Physical Therapy That Collaborates With Physicians, Caregivers & Care Teams
Opt2Restore supports comprehensive care by helping physicians, discharge planners, case managers, caregivers, and families coordinate the next step after illness, injury, hospitalization, or changes in mobility.
Physician Collaboration
We help connect clinical recommendations with real-world recovery needs by supporting referrals, documentation, therapy planning, and appropriate communication with medical providers.
Caregiver Communication
Families and caregivers receive guidance on mobility support, fall-risk concerns, safe transfers, home setup, and daily routines that may affect recovery and independence.
Discharge & Transition Support
After hospitalization or rehab discharge, we help identify safety concerns, mobility barriers, and environmental risks that can affect the transition back home.
Comprehensive Home-Based Care
Care is designed around the patient’s medical needs, home environment, support system, mobility goals, and long-term safety, not just a single appointment.
Already working with a patient who needs support? Send the referral through the secure form, or reach the team directly to talk through fit before you refer.
Direct Contact
Other Ways to Reach the Referral Team
Some referrals are easier to discuss than to type. Call or email if you would rather talk through a case, confirm coverage, or coordinate a discharge date.
Referrals submitted through the secure form are reviewed within 1 business day. For anything urgent or emergent, call 911.
Frequently Asked Questions
Referral FAQs for Partners
What information should I include with a referral?
The essentials are the patient’s name and best contact number, the referring provider and practice, the primary concern or diagnosis, any recent hospitalization or discharge date, insurance type, and any known home-safety or mobility concerns. If something is missing, we will follow up with you directly.
Do you need a physician’s order before starting?
Requirements depend on the service and the payer. For therapy billed to Medicare Part B, a plan of care is certified by the patient’s physician. Assessments and consulting services may not require an order. Submit the referral and our team will confirm what is needed for that specific case.
How quickly will the referral be reviewed?
Referrals are reviewed within 1 business day. The patient or family is then contacted to discuss services and scheduling, and confirmation is provided back to the referring partner.
Which areas do you serve?
Opt2Restore serves Nassau County, Suffolk County, and New York City, including Manhattan, Brooklyn, Queens, and surrounding communities. If you are near the edge of a service area, contact us and we will confirm coverage.
Do you accept Medicare?
Yes. Opt2Restore accepts Medicare Part B and private pay for in-home physical therapy. Aging-in-place assessments, home modification consulting, and wellness programs may be private pay or potentially HSA/FSA eligible depending on the service.
Can I refer a patient who is still in the hospital or rehab facility?
Yes. Discharge-sensitive referrals are welcome, and earlier notice helps. Include the anticipated discharge date so we can coordinate the transition home and identify safety or mobility barriers before the patient arrives.
What is a C.A.R.E. Signal?
It is a secure form used to flag a high-risk, complex, or discharge-sensitive situation that may benefit from clinical and environmental review, before it becomes a full referral. Use it when you have identified a concern and want our team to take a look.
Will I hear back about my referral?
Yes. Referring partners receive confirmation once the referral is processed, along with clinical documentation aligned with your workflow where appropriate and permitted.
Referral Support
Partner With Opt2Restore for Safe, Coordinated Care
Opt2Restore partners with physicians, discharge planners, hospitals, home health agencies, and community providers to deliver in-home physical therapy, occupational therapy, and aging-in-place support. Our focus is helping patients improve safety, mobility, and independence within the home environment.
We support care transitions, help reduce fall risk, and work to prevent avoidable readmissions through personalized, one-on-one care delivered in real-life settings. Our referral process is simple, responsive, and designed to keep referring partners informed throughout the patient journey.