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Direct Access makes self-referral for physical therapy easy in Hawaii.

Here are the Direct Access laws in Hawaii, as described by the American Physical Therapy Association:

Hawaii is one of 18 states that allow patients total, unrestricted access to physical therapy. With direct access to physical therapy in Hawaii, no type of physician referral is required for a PT to treat a patient.

While direct access to a physical therapist is not restricted in Hawaii, a physical therapist must refer a patient to the appropriate healthcare provider if the therapist feels the patient’s condition is beyond the direct access physical therapy scope of practice in Hawaii or if physical therapy is contraindicated. Failure to do so as a practicing physical therapist in Hawaii is considered an act of professional misconduct.


Direct Access lets you self-refer for physical therapy. No prescription required.

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Download the BetterPT app for iOS or Android and get access to the best physical therapists near you.

Simply enter your phone number and we will send you a download link for the app via text message.*

*The app is free for patients to download. Your phone carrier text message rates apply

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