Delaware is one of 26 states that allow direct patient access to physical therapy (PT) with some provisions. Delaware law allows treatment from a physical therapist (PT) with or without a referral from a licensed medical or osteopathic physician. A PT can treat a patient for up to 30 days, after which the therapist must consult a physician.
Innovative Healthcare Centers in Delaware is ready to help you regain mobility, reduce pain, and achieve your health goals through expert physical therapy care.

Understanding Direct Access to Physical Therapy in Delaware
Direct access means that patients can seek physical therapy services without first obtaining a physician’s prescription or referral. This allows for quicker access to care, which can be crucial for those dealing with pain, mobility issues, or recovery from injury. However, Delaware does have specific provisions regarding direct access that both patients and PTs must follow.
Patients may see a physical therapist without a physician’s referral. A PT can provide treatment for up to 30 days. After 30 days, the PT must consult with a licensed medical or osteopathic physician before continuing treatment. Some insurance providers may still require a referral for reimbursement, despite direct access laws.
Benefits of Direct Access to Physical Therapy
Allowing patients to seek physical therapy without a prescription provides several advantages.
Faster Treatment and Recovery
Patients can begin PT as soon as they feel the need, without waiting for a doctor’s appointment. Early intervention can prevent conditions from worsening and reduce the need for more invasive treatments.
Cost Savings
Eliminates the cost of an initial physician visit before PT. Reduces overall healthcare expenses by addressing musculoskeletal issues before they become severe.
Increased Convenience
Patients have more control over their healthcare decisions. There is no need to schedule an extra appointment just to get a referral.
When a Physician Referral May Be Required
While Delaware allows direct access, there are situations where a referral might still be needed.
If therapy is required for more than 30 days, a PT must consult with a physician. Some insurance plans may mandate a physician’s referral for coverage. If a PT identifies symptoms that require medical evaluation, they may refer the patient to a physician before continuing treatment.
Common Conditions Treated Under Direct Access PT
Many patients seek physical therapy for a variety of conditions that can be treated within the 30-day window, including:
Sports injuries such as sprains, strains, and overuse injuries. Post-surgical rehabilitation for recovery from knee, shoulder, or back surgery. Chronic pain management for back pain, neck pain, and joint stiffness. Balance and mobility issues to help prevent falls and improve movement. Work-related injuries such as carpal tunnel syndrome or repetitive strain injuries.


What to Expect During a Direct Access PT Appointment
If you seek physical therapy without a prescription in Delaware, here’s what you can expect during your first appointment.
Initial Evaluation
The PT will review your medical history and discuss your symptoms. A physical examination will be conducted to assess range of motion, strength, posture, and movement patterns. The therapist will develop a personalized treatment plan tailored to your condition.
Treatment Plan
Treatment may include hands-on therapy, stretching, strengthening exercises, and pain management techniques. Home exercise programs may be provided to supplement in-clinic treatments. The therapist will also educate you on injury prevention and movement strategies to avoid further issues.
How Innovative Healthcare Centers Supports Direct Access Patients
At Innovative Healthcare Centers, we believe in providing patients with accessible and effective physical therapy. Our experienced therapists work with individuals to develop personalized treatment plans that help them recover quickly and safely.
We offer comprehensive evaluations to assess each patient’s condition thoroughly before beginning treatment. Our approach includes evidence-based treatments that improve function and reduce pain. If treatment extends beyond 30 days or requires additional medical input, we collaborate closely with referring doctors to ensure the best patient outcomes.


Get Started Today
Delaware’s direct access laws for physical therapy make it easier for patients to receive care without unnecessary delays. While no prescription is required for initial treatment, PTs must consult a physician if therapy extends beyond 30 days. This approach ensures patients receive timely, effective care while maintaining medical oversight when necessary.
At Innovative Healthcare Centers, we are committed to helping patients regain mobility, reduce pain, and achieve their health goals through direct access physical therapy. If you have any questions or want to schedule an appointment, contact us today!