When must a PT notify the patient's treating health care provider that they are receiving PT services for a direct-access patient?

• A. Within 5 business days after first visit
• B. Within 30 days
• C. At discharge
• D. Never

Answer: (A)

When a physical therapist treats a patient under direct access, they still coordinate care with the patient’s other health care providers. The timely communication is important so everyone stays informed about the patient’s condition, treatment plan, and any safety concerns. The standard window for this notification is within 5 business days after the first visit. This speedy communication helps ensure safe, coordinated care and permits the treating physician or other providers to see what’s being done, discuss the plan, and identify any potential conflicts or need for medical clearance. Waiting longer, such as 30 days, discharging without sharing information, or never notifying, undermines care coordination and safety. The notification typically includes a brief summary of the evaluation, the proposed plan of care, expected duration, and any red flags or needs for collaboration, with patient consent.