Wayne Cannon Physical Therapy
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Referring Physicians


Upon referral, your patient will be treated by a licensed physical therapist and the same therapist each visit. In our care, your patients can be assured they will receive the highest quality care through the most current rehabilitation techniques available.


They can be assured that we will begin by listening.


(Please click the link below to download a PDF of our patient referral slip.)

Physician Referral Form.pdf 6.6MB

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Referring Physician's Name and Email

Referred Patient's Name and Contact Info (Phone Number, Email, etc.)

Diagnosis or Referred Condition


 Referrals may be made by calling (336) 659-8634 or faxing your referral to (336) 659-8636.

We appreciate your referral.


Wayne Cannon Physical Therapy & Associates

 

We Begin By Listening...


Contact UsContact Us

  • External link opens in new tab or window336-659-8634
  • External link opens in new tab or windowpostmaster@wcpta.net
  • External link opens in new tab or window 760 Highland Oaks Drive, Winston-Salem, NC 27103
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