Direct Access

Many patients are referred to physical therapy after seeing a General Practitioner, Orthopedic or Neurologic physician or Chiropractor. However, Virginia is considered a DIRECT ACCESS state, meaning you can seek physical therapy services without a prescription from a physician. This allows for a more efficient pathway for recovery, as treatment of musculoskeletal injuries can begin sooner. In some cases, the therapist may recommend you seeing a physician for further imaging if needed. 

If you have not already completed your patient registration online, we ask that you arrive at least 15 minutes before your scheduled appointment to allow for signatures and completion of paperwork.   The initial evaluation entails several steps that begin with a conversation between you and the therapist, that will review your medical history, your current activity level and your goals moving forward. Your therapist will then perform a thorough movement assessment, looking at both global movement patterns, as well as structural mobility of your musculoskeletal system. Through this analysis, your therapist will be able to identify deficits in flexibility, strength and muscle imbalances that can assist in determining the root causes of your pain or dysfunction.  

A plan of care is subsequently developed, with the patient being an integral part of goal-setting. This will include recommendations on frequency and duration of physical therapy visits, instruction in home or gym exercises, education in more efficient movement patterns during daily or sports activities, and instruction in self-care techniques. 

Please be sure to book your appointments at least 2 - 4 weeks in advance to ensure dates and times that are convenient for you. Consistent attendance will ensure your receive the maximum benefit from your physical therapy program.   

Here are a few recommendations for your first visit:  

• Have dates (injury onset or surgery date) available. 

• Bring your current medication list (if applicable). 

• Be ready to discuss what you are currently experiencing, i.e. what makes the pain worse or better? Where is the pain? What movements or positions are difficult for you? How is the pain effecting your daily activities or preventing you from attaining your goals? 

• Wear comfortable, loose fitting clothes. If you have a lower extremity issue, wear shorts; if you have an upper extremity issue, where short sleeves or tank tops. 

• Wear or bring pertinent shoes that you feel may be impacting your function. 

If you are going to be late or if you are unable to make an appointment please call to reschedule. There is a late cancellation (less than 24 hours) or a no show fee of $55 that will be added to your account that insurance does not cover.