Direct access is a law that allows patients to go to a physical therapist without a prescription from a referring provider (physician, physician assistant, nurse practitioner, surgeon, chiropractor). West Virginia allows direct access. Therefore, you can come to IMPROVE Physical Therapy & Hand Center, LLC without a referral or a physician’s prescription. In cases in which the self-pay option is chosen – we will see patients without a doctor’s order.

However, most insurances require the physical therapy referral and prescription from a doctor or referral source in order to approve and pay for the therapy. We recommend and prefer that you get a doctor’s order prior to coming to therapy. We believe this policy and practice leads to higher quality healthcare and will make it much more likely that your insurance will authorize and pay for your physical therapy treatments.