The State of Iowa is a direct access state, so you have the option of seeing a physical therapist or occupational therapist without a physician’s referral. Most insurances do not require a referral, but we would love to help you understand your insurance benefits. Just call and talk to our friendly office assistant who will provide you with a complimentary insurance benefits check. Despite the fact that a referral is seldom needed, we value a team approach to restoring health, and with your permission, we will communicate closely with your doctor to make sure you get the care you need to quickly restore your health.