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Texas PT Referral Requirement
A physical therapist is subject to discipline from the board for providing physical therapy treatment without a referral from a qualified healthcare practitioner licensed by the appropriate licensing board, who within the scope of the professional licensure is authorized to prescribe treatment of individuals.
When can a physical therapist treat a patient without a referral?
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.
Emergency Circumstances. A PT may provide emergency medical care to a person after the sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity without referral if the absence of immediate medical attention could reasonably be expected to result in a serious threat to the patient's health, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part.
A PT may treat a patient for an injury or condition without a referral for not more than ten (10) consecutive business days if the PT:
A PT who has completed a residency or fellowship may treat a patient without a referral for not more than fifteen (15) consecutive business days if he possesses a doctoral degree and:
Patient consent to be treated without a referral
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:
Which providers can issue the referral?
"Referring practitioner" means a qualified licensed health care professional who, within the scope of professional licensure, may refer a person for health care services. This includes:
Methods of referral
A referral may be transmitted by a qualifying referral source in the following ways:
Tex. Occ. Code § 453.001
Tex. Occ. Code § 453.301
Tex. Occ. Code § 453.302
22 Tex. Admin. Code §322.1