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Florida Physical Therapy Direct Access and Referrals

Is a referral required to provide PT services?

A physical therapist may implement a plan of treatment developed by the physical therapist for a patient or provided for a patient by a practitioner of record or by a licensed advanced practice registered nurse.

The requirement that a physical therapist have a practitioner of record review and sign a plan of treatment does not apply when:

    • A patient has been physically examined by a physician licensed in another state,
    • The patient has been diagnosed by the physician as having a condition for which physical therapy is required, and
    • The physical therapist is treating the condition.

A physical therapist may not implement a plan of treatment for a patient currently being treated in a facility licensed pursuant to chapter 395 (Hospital).

Which providers are considered to be practitioners of record?

A health care practitioner licensed under chapter 458 (physician), chapter 459 (osteopath), chapter 460 (chiropractor), chapter 461 (podiatrist), or chapter 466 (dentist) and engaged in active practice is eligible to serve as a practitioner of record.

When does a PT have to refer a patient to a physician?

The physical therapist shall refer the patient to or consult with a practitioner of record if the patient’s condition is found to be outside the scope of physical therapy. If physical therapy treatment for a patient is required beyond thirty (30) days for a condition not previously assessed by a practitioner of record, the physical therapist shall have a practitioner of record review and sign the plan.


Fla. Stat. ยง 486.021

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