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Texas Physical Therapy Referral Requirement
Is a referral required to provide PT services?
Yes. A physical therapist is subject to discipline from the board for providing physical therapy treatment without a referral from a qualified healthcare practitioner.
Exceptions to the referral requirement? Change September 2019
A physical therapist may treat a patient for an injury or condition without a referral if the physical therapist:
Limitation on the number of days that a PT may treat a patient without a referral
A physical therapist may treat a patient for up to ten (10) consecutive business days without a referral.
A physical therapist who possesses a doctoral degree and has completed a residency or fellowship may treat a patient for up to fifteen (15) consecutive business days without a referral.
The physical therapist must obtain a referral from a referring practitioner before the physical therapist continues treatment that exceeds treatment days authorized/
A physical therapist who treats a patient without a referral shall obtain from the patient a signed disclosure on a form prescribed by the board in which the patient acknowledges that:
In an emergency circumstance, including a minor emergency, a physical therapist may provide emergency medical care to a person to the best of the therapist's ability without a referral from a referring practitioner.
"Emergency medical care" means a bona fide emergency service provided after the sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity, including severe pain, such that the absence of immediate medical attention could reasonably be expected to result in:
A PT may evaluate without referral.
A PT may provide instructions to any person who is asymptomatic relating to the instructions being given without a referral, including instruction to promote health, wellness, and fitness.
Which providers can issue the referral?
The term includes:
How may the referral by transmitted?
Referral may be transmitted by a qualifying referral source in the following ways:
Tex. Occ. Code § 453.301
Tex. Occ. Code § 453.302
3 Tex. Admin. Code §322.1