Make A Referral

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If you are looking to refer clients to a Post-Rehab fitness program, simply fill out the form below.

Your Role

Physical Medicine & Rehabilitation

Primary Care Physician

Neurologists

Physiatrists

Nurse Practitioner

Therapist (Physical, Occupational, Speech Therapist)

Chiropractor

Orthotists / Prosthetists

Rehabilitation Technologies

Health & Fitness Professional

Medical Exercise Professional

Community Support Groups

Primary Care Givers

Does the Participant have a Parent/Caregiver?

Yes

No

Medical Exercise Assessment

Strength Training

Cardiovascular Training

Flexibility Training

Balance Training

Gait Training

Somatosensory Training

Boxing for Neurological Conditions

Whole Body Vibration Training

Home Exercise Program (Self-care)

Rebounder Exercises for Beginners

Is the Client or Caregiver aware that we will be in contact with them?

Yes

No

Enter your details below to gain access