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A referral from your provider is required for physical, occupational and speech therapy. Ask your provider to download and complete the referral form below, and have the referral faxed to (425) 688-5912. After the referral has been submitted, call us at (425) 688-5900 to schedule your evaluation appointment.

For Patients

  • Medical History Form - Physical & Occupational Therapy
  • Medical History Form - Pelvic Health & Abdominal Physical Therapy

For Providers

  • Order / Referral Form - Overlake Outpatient Rehabilitation

Rehabilitation Care

  • Occupational Therapy
  • Patient Resources
  • Physical Therapy
  • Speech Therapy
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Overlake Medical Center & Clinics

1035 116th Ave NE, Bellevue, WA 98004

Phone: (425) 688-5000

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