The state of Missouri has limited direct access meaning, you do not need a referral if you have been seen by a chiropractor, primary care doctor, dentist, nurse practitioner, podiatrist, physician's assistant or orthopedic surgeon in the past year for your current condition. A referral is also not needed if you are receiving health and wellness or prevention services (i.e., no current pain problem being treated). If this is a new injury and you have not seen any of the heath-care providers mentioned above, we recommend that you obtain a referral prior to beginning physical therapy in order to maximize the benefit of your first visit. Please bring a copy to your first visit for have it faxed ahead of time. You or your doctor can fax a referral to: (913) 624-9992