Professional Referral Form
Refer With Confidence
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.
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
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.
Referral Portal
Send Us a Message
Submit a referral in minutes. Our team will review, verify eligibility, and coordinate next steps quickly to ensure a smooth transition of care.
Response within 24 hours
Serving Nassau County, Suffolk County, and New York City