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Referral

Please complete and submit this form and EmpoweRT will follow up to schedule a free consultation. This form can be completed by you, your loved one, or physician, 

Doctor's Desk

Physician Orders

Please fax orders to (855) 717-1948.

"Recreational Therapy to eval and treat."

P.O. Box 965501

Marietta, GA 30066

lkelly@empowerrectherapy.com

Empower Recreational Therapy

Tel: 717- 793- 0687 

Fax: (855) 717-1948

© 2021 by Laura Kelly

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