Refer a patient · pelvic floor therapy, Southlake
Refer a patient with confidence.
Plain fax is fine. Include the patient’s contact details and the reason for referral, and we’ll take it from there.
When you send a patient to The Pelvic Lab, they see Christine Hernandez, PT, DPT, Cert-DN, a pelvic health specialist, one-on-one, for a full hour. We keep your office in the loop and your patient at the center.
Print referral formRefer a patient · pelvic floor therapy, Southlake
Physician referralsRefer a patient with confidence.
When you send a patient to The Pelvic Lab, they see Christine Hernandez, PT, DPT, Cert-DN, a pelvic health specialist, one-on-one, for a full hour. We keep your office in the loop and your patient at the center.
Plain fax is fine. Include the patient’s contact details and the reason for referral, and we’ll take it from there.
What to include on a referral.
No special form is required. A quick fax with these basics lets us reach your patient promptly.
Patient details
Name, date of birth, phone, and email, so we can reach them quickly and confirm a time.
Reason for referral
The primary concern or working diagnosis, plus any precautions or restrictions we should know.
Relevant history
Recent imaging, operative notes, or prior evaluations if available. Helpful context, never required.
Pelvic health is all we do.
Refer with confidence across the conditions below. Each links to the detail your patient will see.
Women’s Pelvic Health
Pelvic pain, leakage, prolapse symptoms, painful intercourse.
View →Men’s Pelvic Health
Post-prostatectomy recovery, chronic pelvic pain, urinary issues.
View →Pregnancy
Pelvic pain, pressure, and birth preparation, by trimester.
View →Postpartum Recovery
Core and pelvic floor recovery, diastasis, scar, return to activity.
View →Bladder & Bowel Health
Urgency, frequency, constipation, and coordination issues.
View →Post-Surgical Recovery
Rehabilitation after pelvic and abdominal surgery, including prostate.
View →"A high-quality, trusted resource I confidently refer patients to."
Christine demonstrates strong clinical expertise and an evidence-based, patient-centered approach. Communication and care coordination are reliable.
"Both as a patient and a physician, I highly recommend The Pelvic Lab."
Her training and experience in pelvic floor physical therapy and visceral work is extensive. People of all ages, both men and women, could benefit.
Your patient is in good hands.
We receive your fax
Our team reviews every referral the day it arrives and flags anything time-sensitive.
We reach your patient
Usually within one business day, a real person calls to answer questions and schedule their first visit.
You stay informed
We coordinate with your office and share updates as appropriate, so care stays connected.
Patients can also reach us directly. A referral isn’t required to start.
Texas allows direct access to physical therapy, so patients are welcome to contact us themselves. We typically request a referral within the first 30 days to keep care coordinated with your office.
Questions about referring? Let’s talk.
Call and our team will walk your office through anything you need, or fax a referral and we’ll take it from there.