Do I Need a Doctor Referral for Physical Therapy in Richmond?

BEN KLINGELHOFER • January 29, 2026

This is a subtitle for your new post

Movement assessment being performed at a physical therapy clinic in Richmond

Staying active in Richmond is a way of life. Whether you're hitting a morning CrossFit WOD, logging miles on the Capital Trail, or prepping for a weekend soccer league, your body is your greatest asset. But when a sharp pain in your knee or a nagging ache in your shoulder begins to interfere with your progress, the frustration is real. You want answers, and you want them now.

One of the biggest hurdles patients often face is the belief that they must wait weeks for a primary care doctor's appointment just to get a referral for physical therapy. If you're an athlete, every day spent waiting is a day you're losing ground. The good news for the Richmond community is that Virginia's Direct Access laws allow you to bypass the red tape and get the expert care you need immediately.

Understanding Direct Access in Virginia

Direct Access is a legislative framework that empowers you to be evaluated and treated by a licensed physical therapist without first obtaining a prescription or referral from a physician. In Virginia, you are legally entitled to receive physical therapy services for up to 60 consecutive days for a single condition without a doctor's note.

This law was designed to streamline healthcare and prioritize patient outcomes. For proactive individuals who know their bodies well, this means you can take the first step toward recovery the moment you feel something is wrong. At Bend Movement, we specialize in helping active adults leverage this freedom to stay ahead of injuries and maintain their competitive edge.


Why Athletes in Richmond Choose a Direct Access Path

For someone training for a marathon or pushing for a new PR in the gym, time is of the essence. Speed of care is the ultimate advantage. Traditional healthcare routes often involve a multi-week wait for a general practitioner, followed by a referral to a specialist, and finally an intake at a physical therapy clinic. By the time you start treatment, a minor issue could have progressed into a chronic problem or a significant compensatory pattern.

Choosing a Direct Access path allows for immediate intervention. Getting an expert eye on your movement within 48 to 72 hours of an injury can be the difference between a one-week recovery and a three-month layoff. It provides mental relief and a clear roadmap, ensuring that you aren't guessing about whether you should push through the pain or stay on the couch.

Furthermore, early assessment identifies the root cause of dysfunction. If your hip pain is actually caused by poor ankle mobility during squats, addressing it now prevents a more severe injury down the line. Our goal is to maintain your training consistency and prevent the de-training effect that occurs when you're forced to stop moving entirely.

Benefits of Direct Access for Active Individuals

  • Immediate evaluation by a licensed physical therapist
  • Faster treatment initiation for optimal recovery
  • Root cause identification to prevent future injuries
  • Maintained training consistency and performance levels
  • Clear treatment plan without administrative delays

The Benefit of Personalized Care for CrossFit and Running Performance

Many athletes are surprised to learn that the most effective way to utilize Direct Access is through a personalized, one-on-one approach. At Bend Movement, we focus entirely on your individual needs and performance goals.

  • Freedom to Focus on Your Goals: We design treatment plans specifically around your athletic pursuits, whether that's hitting a PR in CrossFit or running a faster 5K. Your program is built for your body and your sport.
  • 60-Minute, One-on-One Sessions: Every session is a full 60 minutes of dedicated time with your Doctor of Physical Therapy. No rushing, no assistants—just focused attention on your recovery and performance.
  • Integrated Wellness and Performance: We don't just treat pain; we optimize movement. We can integrate dry needling, mobility work, and strength programming into a single session tailored to your athletic needs.

What to Expect During Your Initial Evaluation at Bend Movement

When you walk through our doors, you aren't just a patient on a chart. We conduct a comprehensive, athlete-centric movement assessment that looks at how you move in the context of your specific sport. If you're a runner, we look at your gait and single-leg stability. If you're a CrossFit athlete, we analyze your overhead position and squat mechanics.


We delve into your training volume, injury history, and long-term goals to understand the why behind your pain. You won't just leave with a diagnosis; you will leave with a treatment plan started on day one. This often includes:

  • Dry Needling: A powerful tool for releasing trigger points and resetting the nervous system to accelerate recovery.
  • Manual Therapy: Hands-on work to restore joint mobility and reduce muscle tension.
  • Personalized Exercise Programs: Custom demonstrations of your specific exercises, so you know exactly how to perform your homework at the gym or at home.

Frequently Asked Questions About Physical Therapy Referrals in Richmond

Do I need a referral to start physical therapy in Richmond?

No. Virginia's Direct Access laws allow you to see a physical therapist in Richmond without a doctor's referral for up to 60 consecutive days. You can schedule your evaluation and begin treatment immediately.

What happens if I need treatment for more than 60 days?

If your condition requires care beyond the 60-day window, Virginia law requires a physician's referral to continue. We have strong professional relationships with many of Richmond's top orthopedic specialists and can easily coordinate with your doctor or help you find a trusted provider to sign off on your plan of care.

Can I use Direct Access for dry needling?

Yes. In Virginia, licensed physical therapists can provide dry needling services under Direct Access without needing a physician's referral. At Bend Movement, we incorporate dry needling into your treatment plan when appropriate to enhance recovery.

How quickly can I get an appointment?

Because we operate on a Direct Access model, you can typically schedule your initial evaluation within 48 to 72 hours of contacting us. This rapid response time is crucial for preventing minor issues from becoming major setbacks.

Is Direct Access physical therapy effective for performance enhancement?

Absolutely. Direct Access isn't just for injury treatment—it's an opportunity to work with a movement specialist who can identify weaknesses, improve mobility, and optimize your performance before pain or injury occurs. Many of our clients use physical therapy as a proactive tool to stay at the top of their game.

Take Control of Your Recovery Today

Don't let pain or the confusion of doctor referrals keep you from the training you love. You have the right to seek expert care immediately. If you're ready to stop guessing and start performing at your best, contact Bend Movement today. Let's get you back to the gym, the trail, or the field with confidence.


Book your 60-minute evaluation and discover how physical therapy in Richmond can transform your performance and recovery.


physical therapy
By BEN KLINGELHOFER January 12, 2026
How to choose the right physical therapist in Richmond if you’re a CrossFitter, runner, or performance athlete. Expert guidance from Bend Movement.
 Physical Therapy Clinic
By BEN KLINGELHOFER December 15, 2025
Discover what makes a PT clinic the best for active adults and athletes in Richmond. Specialized care for performance, CrossFit, and running.
Patient receiving one-on-one physical therapy assessment and movement evaluation at Bend Movement in
By BEN KLINGELHOFER November 18, 2025
Unlock your full potential with personalized physical therapy in Henrico, VA. Bend Movement offers one-on-one sessions, dry needling, and sports performance optimization.
Richmond athlete undergoing movement analysis and sports rehabilitation assessment with physical the
By BEN KLINGELHOFER November 4, 2025
Discover why Richmond athletes trust Bend Movement for sports physical therapy. Our cash-based model ensures personalized care for faster recovery and peak performance.
Richmond sports physical therapist conducting comprehensive movement assessment with athlete in mode
By BEN KLINGELHOFER November 4, 2025
Discover what to expect from sports physical therapy at Bend Movement in Richmond, VA. Learn about our personalized recovery plans and one-on-one care.
sports physical therapy
By BEN KLINGELHOFER September 18, 2025
Discover how physical therapy for athletes goes beyond rehab, focusing on performance optimization, injury prevention, and long-term athletic development
physical therapy clinic Bend PT
September 18, 2025
Learn why physical therapy is essential for every athlete’s recovery plan, improving performance, preventing injuries, and supporting long-term movement health.
sports physical therapy in richmond va
By BEN KLINGELHOFER August 27, 2025
Learn how sports physical therapy at Bend PT in Richmond helps athletes stay strong, mobile, and injury-free—before problems even start.
sports physical therapy in richmond va
By BEN KLINGELHOFER August 27, 2025
Sports physical therapy isn’t just for pros. Learn how Bend PT in Richmond helps active adults move better, recover smarter, and train safely.
A model of a human spine is sitting on top of a book.
May 1, 2025
Read how John overcame low back pain and stiffness through movement-focused physical therapy and regained confidence in motion.