Do You Need a Referral for Physiotherapy in Ontario?

Direct access means a physiotherapist can assess you, identify the problem, and start a treatment plan without a referral from another health professional. In Ontario, physiotherapy is a regulated health profession, and registered physiotherapists are trained to assess musculoskeletal problems and to recognize when a problem needs a physician’s attention instead. At your first visit, your physiotherapist will take a history, assess how you move, and test strength, flexibility, and function. From that assessment, you get a plan — what the likely problem is, what treatment involves, and how many visits may be needed. If your assessment points to something that needs medical investigation, your physiotherapist will tell you and suggest you see your doctor. Booking directly also saves time. Rather than waiting for a doctor’s appointment to get a referral, you can book an assessment and start addressing the problem while it is still recent. Direct access also applies when you are returning for a new problem. You do not need a fresh referral each time you book, unless your insurer asks for one. If you are unsure, the clinic can help you check what your plan requires when you call to book.