In the state of Virginia, you may be evaluated and treated by a physical therapist for up to 30 days without a prescription by an MD, NP, or PA. However, certain insurances will not cover the cost of physical therapy without a prescription. Please check with us regarding your insurance benefit. You are still welcome to come to physical therapy via direct access, at our self-pay rate, if your insurance company requires a prescription and you choose not to obtain one. If further physical therapy is needed beyond 30 days, we will contact the physician of your choice and assist you in obtaining a prescription.