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New patients.

Direct access in Washington means you can start without a referral for most plans. Here is how the first visit works.

Step 01

Initial evaluation

A 60-minute first appointment to understand your history, your goals, and your baseline.

Step 02

Your plan

A written plan: what we will do, how often, what you will do at home, and how long it takes.

Step 03

Treatment visits

40-minute sessions of manual therapy and graded exercise, with measurable progress checks.

Step 04

Discharge & beyond

You leave with a maintenance program and a clear sense of when to self-manage.

Insurance & payment

We accept most major insurance plans and file claims for you. Self-pay pricing is available and published up front.

PremeraKaiser (Permanente)RegenceAetnaUnitedHealthcareCigna

Common questions

Do I need a referral?

Washington allows direct access to physical therapy. You can start without a referral for most plans; we will help you verify what your insurance requires.

What should I wear?

Athletic clothing and shoes that let you move. You will exercise every visit, so come ready to work.

How many visits will I need?

It depends on the issue. Most orthopedic plans run 8-16 visits over two to three months, with a written plan and progress reviews throughout.

Will it hurt?

Exercise-based rehab should challenge you, not harm you. We stay within a pain window that is safe and effective, and we tell you what to expect.