email:

Tel: 1-888-929-7677

Fax:  1-888-929-7677

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Thank you very much for choosing Achieva Rehab.  Please fill out the information below and we will contact your office to complete the referral.  

Physician Referral

Alternatively, you can simply download our prescription form and fax it directly to us as indicated on the form.

 

 

Download Prescription PDF