You can schedule your initial evaluation and start recieving physical therapy without a doctor's referral. In Pennsylvania, direct access laws do require a referral to recieve 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 helpful to accurately assess the pelvic floor. It is not essential and is rarely performed on the day of initial evaluation. You will be given education regarding how and why the pelvic floor muscles and structures are assessed, and you ultimately decide if you are interested in having this assessment performed.

It is also important to note that this and all assessments and treatments provided are done with great care to avoid increasing any pain or discomfort, and can be discontinued at any time.

Absolutley. 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.