The Institute of Clinical Excellence
Upcoming Courses

Submit Clinician Information

PLEASE ONLY ADD YOURSELF IF YOU ARE AN INDEPENDENT HEALTHCARE PROVIDER THAT IS ABLE TO RECEIVE DIRECT REFERRALS TO PERFORM AN EVALUATION & TREATMENT FOR PHYSICAL THERAPY

PLEASE ALLOW UP TO 4 WEEKS FOR YOUR LISTING TO POST

DISCLAIMER
IF YOU ALREADY HAVE AN ENTRY ON THE MAP, STOP AND EMAIL INFO@ICE.PHYSIO WITH CHANGES DO NOT FILL OUT ANOTHER FORM
Name(Required)
ICE Certified?(Required)
Number of ICE Courses Taken?(Required)
Please list your clinical specialties (check all that apply)(Required)
Clinic Address(Required)
Accepted file types: jpg, jpeg, png, gif, Max. file size: 256 MB.
Accepted file types: jpg, jpeg, png, gif, Max. file size: 256 MB.