Can physical therapists in the District of Columbia treat patients without a referral?

In the District of Columbia, physical therapists have the ability to treat patients without a referral under specific conditions. This practice is referred to as "direct access." Direct access allows patients to seek physical therapy services without having to first obtain a referral from a physician, which can streamline the process of receiving care.

However, while physical therapists can initiate treatment without a referral, they must still adhere to certain regulations. For example, the therapist must evaluate the patient and determine that physical therapy is appropriate for the condition being treated. Additionally, if a patient requires services beyond what the therapist can provide, or if the condition does not improve within a certain timeline, the therapist is required to refer the patient back to a physician.

This framework encourages patient autonomy in accessing care while also ensuring that therapists operate within the bounds of their clinical expertise and legal requirements.