To save time at your first visit, download and complete the following forms ahead of time, and we'll get you started even faster. Find Relief without a Referral.With many insurance plans, no prescription or doctor's referral is needed to start your journey to a pain-free life. Therapy athletic training staff and team physicians. Professional Physical Therapy Clinic Lyndhurst, NJ. Complete this short form and our patient care coordinators will reach out to schedule an appointment. Directions: Complete this form and submit to the youth applicant's C-SPOA of origin to apply for C-SPOA Coordination. It will review contraindications and situations where it is appropriate to refer a client out to other health practitioners. Ethnicity of Target Areas.