All we need to get started is a COMPLETE Referral Form and a Physician’s Order signed by your child’s primary physician.
Click on the link above marked “Forms” and download the Referral Form. Complete this form and fax it to 704-843-9045, email it to firstname.lastname@example.org or mail it to the following address:
Milestone Therapy, Inc.
1229 Toteros Drive
Waxhaw, NC 28173
We will contact your child’s primary physician and request a Physician’s Order to be signed by them. Once all this information is received, we can schedule your child’s evaluation. It’s that easy!