Use the framework below to draft your referral agreements with your integrated care partners. Print out and complete our Referral Form and return it to us along with medical records or other appropriate documentation.DSHS forms are available for electronic completion in different software; however, all DSHS forms below are available as Adobe Acrobat PDF files. You can download the following forms from this page: Initial Evaluation Paperwork (click on the form name). The PT must refer the patient to an appropriate physician when their symptoms or condition are beyond the scope of the physical therapist's care. Provide service details and the term. In some cases, protecting clients' interests may require termination of the professional relationship with proper referral of the client. Therapy in the State of Washington. Two healthcare professionals in a business meeting, listening. What is a Management Services Agreement?