Nope! A referral is not needed to obtain services from Katie Band Physiotherapy. Washington state is a direct access state, meaning that a person can access physical therapy services without a prescription or referral from a clinician. However, some insurance providers do require that you have a prescription or referral from a clinician for billing purposes. If you’re interested in potential reimbursement and your insurance requires a referral, you will need to have a prescription. If you have a referral or prescription, please bring it in with you to your first visit. Referrals or prescriptions may potentially come from the following: MD, DC, DPM, DO, PA, CNM (certified nurse midwife) or NP/ARNP (nurse practitioner).