Having difficulty getting in to see your PCP or specialist to get a referral?

Our Hamilton Orthopedic Physical Therapy Department can likely utilize Direct Access for physical therapy services in New York State.

Here is a summary of Direct Access in New York and what it generally means for a patient seeking care at Hamilton Orthopedic Physical Therapy:

No Referral Needed Initially: You are legally permitted to see a licensed physical therapist for evaluation and treatment of a musculoskeletal injury without a physician's referral or prescription.

Duration Limit: Treatment without a referral is generally limited to 10 visits or 30 calendar days, whichever comes first.

Continuing Care: If more visits are needed after the 10 visits/30 days, a prescription or referral from a licensed healthcare provider (like a physician, dentist, podiatrist, or nurse practitioner) is required to continue physical therapy.

Insurance Consideration: It is crucial to check with your specific insurance provider as coverage for Direct Access varies. Some plans, like Medicare, Medicaid, Workers' Compensation, and No-Fault, often still require a physician's prescription from the start for payment.

Recommendation: If you are considering using Direct Access at Hamilton Orthopedics, you should call our office directly at 315-824-1252 to confirm the specific Direct Access policy and procedures. You should also verify your insurance benefits to ensure they will cover your treatment without a referral from a physician.