You can schedule your initial evaluation and start receiving physical therapy without a doctor's referral. In Pennsylvania, direct access laws do require a referral to receive treatment beyond 30 days. This referral may come from your doctor, midwife, nurse practitioner or physician's assistant.

This can vary greatly from person to person and is impacted by many factors including severity of symptoms, length of time that symptoms have persisted, and goals.

DelSignore Core & Pelvic Health is an out-of-network physical therapy practice. This allows for higher quality, 1-1 care with your physical therapist that is not limited by restrictions dictated by insurance companies. Payment is due at the time of service and can be made by cash, check, credit card or HSA card. Services received may be covered under your out-of-network physical therapy benefits. You will be provided with a detailed superbill that you can submit to your insurance company for potential reimbursement.

An internal pelvic-floor evaluation is not automatically required and is rarely performed during the initial visit. We typically begin with a conversation, whole-body assessment, and external evaluation.If an internal evaluation could provide useful information, your therapist will explain why it is being recommended, what it involves, and what you can expect. You decide whether to proceed and may decline, pause, or stop the assessment at any time.

Absolutely. We would most likely not perform an internal evaluation examination or treatment on that day with a few exceptions. The pelvic floor is one part of a bigger system that we are addressing, and treatment can absolutely be provided without having an internal component.