Do You Need a Referral for Physiotherapy in Ontario?

November 10 - 2026
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You hurt your back, your knee or your shoulder and want to get it looked at. The first question most people ask is whether they need to see their family doctor first. In Ontario, the short answer is no.

You can book physiotherapy directly

Physiotherapists in Ontario are regulated health professionals, and you can see one without a doctor's referral. At Orthopaedic Institute you can call or book online and start with an assessment at any of our clinics in Niagara Falls, Thorold, Grimsby, Hamilton or Dundas.

The same is true for chiropractic care, registered massage therapy and athletic therapy.

When a referral still matters

You don't need a referral to be seen, but you may need one for other reasons:

  • Your insurance plan asks for one. Some extended health plans only pay for physiotherapy or massage with a doctor's note. Check your plan booklet or call your insurer before your first visit.
  • You want to see a specialist. Our sports medicine physicians and orthopaedic surgeons need a referral from your family doctor or another health care provider.

Is physiotherapy covered by OHIP?

Orthopaedic Institute does not offer OHIP-funded physiotherapy at any of our five locations. Our physiotherapy services are privately funded and may be covered through extended health insurance or paid out of pocket.

OHIP coverage at Orthopaedic Institute applies to eligible physician services only.

Using your extended health benefits

Most workplace benefit plans cover physiotherapy, chiropractic and massage up to a yearly amount. We bill many insurers directly, so you often won't pay up front. Bring your plan details to your first visit and our front desk will check your coverage.

What happens at your first visit

Your physiotherapist will ask about your injury, test how you move, and explain what's going on. You'll leave with a treatment plan and usually some exercises to start at home.

Ready to book? Call 289-674-4400 or book online. No referral needed.