Direct Access

Florida law allows all patients to directly access physical therapy services without a physician referral. Treatment beyond 21 days requires either a signed physician referral or the physician's signature on the therapist's plan of care.


Some insurance plans are now allowing payment for direct access therapy services. Some plans that allow direct access payment include the following:

  • Select Blue Cross Blue Shield PPO plans
  • Blue Options
  • Blue Cross Blue Shield Federal plans
  • Capital Blue Cross Blue Shield
  • Select Cigna PPO plans
  • Comp Services
  • Some auto insurances including State Farm
  • PHCS
  • Aetna Open Access
  • Select Humana plans


In all cases, our office secretaries at Progressive Step Rehabilitation will verify your insurance plan to determine if self referral payment is allowed.


If your insurance plan does not allow self referral payment, you must obtain a written prescription from your personal physician.


Unrestricted and immediate access to therapy services is in the best interests of all patients with musculoskeletal conditions. If your insurance plan does not allow self referral payment, please consider calling your insurance plan to advocate for a change of policy.


1550 Business Center Drive, Suite B Fleming Island, FL 32003
Phone: (904) 264-6304 Fax: (904) 264-6305

410 Blanding Blvd Suite 6A Orange Park, FL 32073
Phone: (904) 276-7881 Fax: (904) 276-7568
Copyright 2005, Progressive Step Rehabilitation. All Rights Reserved.