In Texas, Direct access laws to physical therapy services is permitted under certain conditions. Physical therapists can evaluate and treat patients without a referral for up to 10 business days for PTs with a doctoral degree or PTs who have 30 hours of CCUs in differential Diagnosis. For PTs with a doctoral degree who have completed a residency, fellowship training, or board certification, the treatment can go up to 15 business days. However, a referral is still needed if treatment is needed beyond the allowed days. Physical must have at least one year of experience and must have liability insurance to qualify for direct access services.