In the state of WA, it is not required by law to have a referral for physical therapy, but most insurance companies, including medicare and medicaid, still require a referral for reimbursement. A referral may be written by your physician, physician’s assistant, nurse practitioner, podiatrist, chiropractor, or dentist (i.e. for a TMJ disorder). If you feel you would benefit from physical therapy, you may request a referral from your practitioner. You can download a referral form for your doctor here.