Can You Start PT Without a Referral?
Yes! In California, you can see a physical therapist directly without first going to a doctor. This is called Direct Access, and it means you can start your recovery right away instead of waiting weeks for another appointment.
What Happens After 45 Days or 12 Visits
State law allows you to begin PT immediately, but if you’re still in therapy after 45 calendar days or 12 visits, your plan of care must be approved by a doctor to continue.
In practice:
Most physicians require a quick visit before they’ll sign off.
SB Physio coordinates with your provider so there’s as little disruption as possible.
Insurance vs. State Law
It’s important to understand the difference:
State law (scope of practice): PTs can legally start your care without a referral.
Insurance rules (coverage): Some plans may still require a referral or prior authorization for them to pay.
That’s why we always recommend patients check with their insurance provider about their specific benefits.
Our Philosophy at SB Physio
At SB Physio, we believe your recovery should be guided by clinical decision-making and your goals, not by insurance interruptions. We’ll help you navigate the paperwork, but our focus is making sure you start quickly and stay on track with as little red tape as possible.
Bottom Line
No referral needed to begin PT in California.
After 45 days/12 visits, most doctors will want a quick visit before signing off.
Insurance coverage rules vary — always check your plan.
SB Physio keeps the process simple so you can focus on recovery, not insurance hurdles.
👉 Ready to start PT without waiting for a referral? Request an Appointment at SB Physio.
