Physical Therapy Prescription: Difference between revisions
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== Introduction == | |||
A physical therapy prescription, sometimes called an order or a referral, is a written or electronic document from a medical practitioner authorizing the the need for a physical therapy evaluation and or treatment. | |||
== Components of a Physical Therapy Prescription == | |||
Prescription formats can vary widely, but usually include the following information: | Prescription formats can vary widely, but usually include the following information: | ||
* Name and birthday of patient | * Name and birthday of patient | ||
* One or more International Classification of Diseases diagnosis code(s), associated with the need for physical therapy treatment | * One or more International Classification of Diseases diagnosis code(s), associated with the need for physical therapy treatment | ||
| Line 14: | Line 14: | ||
Sometimes a prescription will only be for a physical therapy evaluation, but no treatment. In this case, the physical therapy evaluation will be performed and the documentation will be sent back to the medical practitioner | Sometimes a prescription will only be for a physical therapy evaluation, but no treatment. In this case, the physical therapy evaluation will be performed and the documentation will be sent back to the authorizing medical practitioner, who will then decide whether to write a new prescription for further physical therapy treatment. | ||
In the United States, Physical Therapists are only allowed to accept physical therapy prescriptions from specific types of medical practitioners. Since physical therapy licenses are managed by each state individually, each state dictates this list. Generally acceptable medical practitioners include: | == Authorizing Practitioner in the United States == | ||
In the United States, Physical Therapists are only allowed to accept physical therapy prescriptions from specific types of medical practitioners. Since physical therapy licenses are managed by each state individually, each state dictates this list.<ref>Florida Board of Physical Therapy. Board of Physical Therapy Rules and Laws. November 2021. Available from https://floridasphysicaltherapy.gov/forms/pt-study.pdf. Accessed on 30, May 2023.</ref> Generally, acceptable authorizing medical practitioners can include: | |||
* Physicians | * Physicians | ||
* Surgeons | * Surgeons | ||
* Physician Assistants | |||
* Advanced Registered Nurse Practitioners | * Advanced Registered Nurse Practitioners | ||
* Dentists | * Dentists | ||
* Chiropractors | * Chiropractors | ||
== | == Direct Access == | ||
Direct access means being able to receive physical therapy services without a physical therapy prescription.<ref name=":0">Piscitelli, Furmanek, Meroni, De Caro, and Pellicciari. Direct access in physical therapy: a systematic review. Clin Ter. 2018; 169 (5):e249-260. </ref> | |||
According to Piscitelli, Furmanek, Meroni, De Caro, and Pellicciari, a 2012 survey indicated that direct access to physical therapy services were available in 40 different countries.<ref name=":0" /> | |||
In the United States, according to the American Physical Therapy Association, as of February of 2021, there were 20 states that allowed direct access with no parameters or restrictions, 27 states, along with the District of Columbia and the US Virgin Islands, that allowed direct access with some form of parameters or restrictions, and three states that allowed direct access only under specific circumstances.<ref>American Physical Therapy Association. Levels of Patient Access to Physical Therapist Services in the U.S. Available from <nowiki>https://www.choosept.com/globalassets/choosept/assets/pdf-downloadables/direct-access-by-state-map.pdf</nowiki> (accessed 30 May, 2023)</ref> | |||
Revision as of 00:21, 31 May 2023
Introduction[edit | edit source]
A physical therapy prescription, sometimes called an order or a referral, is a written or electronic document from a medical practitioner authorizing the the need for a physical therapy evaluation and or treatment.
Components of a Physical Therapy Prescription[edit | edit source]
Prescription formats can vary widely, but usually include the following information:
- Name and birthday of patient
- One or more International Classification of Diseases diagnosis code(s), associated with the need for physical therapy treatment
- A written explanation of the chief complaint or reason for the need for physical therapy intervention
- Recommended frequency of treatment
- Authorized length of the plan of care
- Name, signature, and license or identification number of medical practitioner authorizing care
- Name of clinic or institution medical practitioner is associated with, if applicable
- Contact information of medical practitioner
Sometimes a prescription will only be for a physical therapy evaluation, but no treatment. In this case, the physical therapy evaluation will be performed and the documentation will be sent back to the authorizing medical practitioner, who will then decide whether to write a new prescription for further physical therapy treatment.
Authorizing Practitioner in the United States[edit | edit source]
In the United States, Physical Therapists are only allowed to accept physical therapy prescriptions from specific types of medical practitioners. Since physical therapy licenses are managed by each state individually, each state dictates this list.[1] Generally, acceptable authorizing medical practitioners can include:
- Physicians
- Surgeons
- Physician Assistants
- Advanced Registered Nurse Practitioners
- Dentists
- Chiropractors
Direct Access[edit | edit source]
Direct access means being able to receive physical therapy services without a physical therapy prescription.[2]
According to Piscitelli, Furmanek, Meroni, De Caro, and Pellicciari, a 2012 survey indicated that direct access to physical therapy services were available in 40 different countries.[2]
In the United States, according to the American Physical Therapy Association, as of February of 2021, there were 20 states that allowed direct access with no parameters or restrictions, 27 states, along with the District of Columbia and the US Virgin Islands, that allowed direct access with some form of parameters or restrictions, and three states that allowed direct access only under specific circumstances.[3]
- ↑ Florida Board of Physical Therapy. Board of Physical Therapy Rules and Laws. November 2021. Available from https://floridasphysicaltherapy.gov/forms/pt-study.pdf. Accessed on 30, May 2023.
- ↑ 2.0 2.1 Piscitelli, Furmanek, Meroni, De Caro, and Pellicciari. Direct access in physical therapy: a systematic review. Clin Ter. 2018; 169 (5):e249-260.
- ↑ American Physical Therapy Association. Levels of Patient Access to Physical Therapist Services in the U.S. Available from https://www.choosept.com/globalassets/choosept/assets/pdf-downloadables/direct-access-by-state-map.pdf (accessed 30 May, 2023)
