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Indiana Physical Therapy Orders and Referrals

It is unlawful for a person to practice physical therapy other than upon the order or referral of a physician, podiatrist, psychologist, chiropractor, dentist, nurse practitioner, or physician assistant holding an unlimited license to practice medicine, podiatric medicine, psychology, chiropractic, dentistry, nursing, or as a physician assistant, respectively.

Twenty-Four Day Exception

A physical therapist may evaluate and treat an individual during a period not to exceed twenty-four (24) calendar days beginning with the date of the initiation of treatment without a referral from an authorized provider.

However, if the individual needs additional treatment from the physical therapist after twenty-four (24) calendar days, the physical therapist shall obtain a referral from the individual's provider.

Spinal Manipulation

A physical therapist may not perform spinal manipulation of the spinal column or the vertebral column unless:

    • The physical therapist is acting on the order or referral of a physician, an osteopath, or a chiropractor; and
    • The referring physician, osteopath, or chiropractor has examined the patient before issuing the order or referral.


IC 25-27-1-2.5

IC 25-27-1-2

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