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Michigan PT Orders and Referrals

Prescription Requirement

A physical therapist or physical therapist assistant shall engage in the treatment of a patient if that treatment is prescribed by a health care professional who is an advanced practice registered nurse or who holds a license issued under part 166 (Dentist), 170 (Physician), 175 (Osteopath), or 180 (Podiatrist), or an equivalent license issued by another state.

A prescription shall include all of the following:

    • The name of the patient.
    • The patient's medical diagnosis.
    • The signature of either an individual who is licensed and authorized to prescribe physical therapy in Michigan or an individual who holds the equivalent license issued by another state.
    • The date that the prescription was written.

A prescription is valid for ninety (90) days from the date that the prescription was written unless the termination date is otherwise stated by the authorized licensee on the prescription.

Exception

A physical therapist or a physical therapist assistant may engage in the treatment of a patient without the prescription of a health care professional who is an advanced practice registered nurse or who holds a license issued under part 166 (Dentist), 170 (Physician), 175 (Osteopath), or 180 (Podiatrist), or an equivalent license issued by another state under either of the following circumstances:

    • For 21 days or ten (10) treatments, whichever first occurs. However, a physical therapist shall determine that the patient's condition requires physical therapy before delegating physical therapy interventions to a physical therapist assistant.
    • The patient is seeking physical therapy services for the purpose of preventing injury or promoting fitness.

Treatment of a patient with a prescription 

A physical therapist who is treating a patient with a prescription of a health care professional shall do all of the following, as applicable:

    • Refer the patient back to the health care professional who issued the prescription for treatment if the physical therapist has reasonable cause to believe that symptoms or conditions are present that require services beyond the scope of practice of physical therapy.
    • Consult with the health care professional who issued the prescription for treatment if the patient does not show reasonable response to treatment in a time period consistent with the standards of practice as determined by the board.

Without a prescription

A physical therapist who is treating a patient without a prescription from a health care professional shall do all of the following, as applicable:

    • Refer the patient to an appropriate health care professional for treatment if the physical therapist has reasonable cause to believe that symptoms or conditions are present that require services beyond the scope of practice of physical therapy.
    • Consult with an appropriate health care professional if the patient does not show reasonable response to treatment in a time period consistent with the standards of practice as determined by the board.

Citation

MCL 333.17824

MCL 333.17820

Mich. Admin. Code R. 338.7122


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