Alert 1: Referral for Physical Therapy Treatment. A referral is not required for a physical therapist to evaluate or prevent disability, injury, disease or other condition of health.Introducing our exciting Referral Program- your opportunity to earn rewards while helping your physical therapy friends maximize their revenue too! In this article, we'll share 5 Referral Program Ideas that will help you get more new patients with the recommendations of your current patients! Your answers to the following questions will help us reach you quickly and discreetly with important information. Address. Street. City. State. This HCFDHS Referral Form must be completed for each patient who is admitted to a healthcare facility (HCF).