Missouri and Kansas approved direct access to physical therapists, meaning you do not need a doctor to seek or receive physical therapy. You have direct access to Coach Amy. Direct access streamlines your access to physical therapy, decreases wait times, and, in most situations, decreases the overall cost by eliminating a visit to your primary care doctor. Still, suppose you have a doctor's referral or imaging results with a specific diagnosis. In that case, Coach Amy must evaluate you to ensure her clinical findings are consistent with that diagnosis.