No, in California you can see a licensed physical therapist without first getting a doctor’s order or referral. This is called Direct Access under state law, and it means you can be evaluated and begin care directly with me. I can provide physical therapy without a referral for up to 45 calendar days or 12 visits, whichever comes first; after that point, continued care (if needed) would require a dated signature on the plan of care from a qualified medical provider.

This is based on California law and not on whether you’re paying out of pocket. If you are planning to submit services to your insurance for reimbursement, I’m happy to answer questions and I can provide a detailed superbill that you can submit to your insurance company for reimbursement.

You’re welcome to reach out in the way that feels easiest for you:

• Email: You can email me at melissaoleept@gmail.com.

• Phone: (415) 310-1401

I aim to respond to messages within 24 hours and am happy to answer questions or help you take the next step.

Most pelvic floor physical therapy sessions are about 45–60 minutes long, which gives us time to start by talking about how you’re feeling, what’s been new or different since your last visit, and what’s been helpful or challenging— this helps us truly understand your experience before we begin hands‑on care, tailored exercises, education, and questions. A typical session length reflects the holistic nature of pelvic health care and the importance of checking in on your symptoms and goals. 

Many people begin with weekly visits for several weeks; as you make progress, we may space appointments to every other week or less often, as it makes sense for your individualized plan of care. The total course of care varies based on your unique needs and goals. Your schedule will be personalized and adjusted as you improve, with the ultimate goal of giving you the tools, knowledge, and confidence to manage your symptoms and your health independently. You can reach us anytime via our contact page or email. We aim to respond quickly—usually within one business day.

My practice is private-pay and I do not take insurance at this time, which allows me to provide the time, attention, and individualized care that each patient deserves.

Payment is collected at the time of your visit, and you can pay via credit card, Venmo, or Zelle — whichever works best for you. I will provide you with a Superbill monthly, summarizing all of your sessions during that period. A superbill is an itemized document with the details most insurance companies require, including provider information, dates of service, and services performed. You can submit this to your insurance company for possible reimbursement, and I’m happy to answer questions and help you understand your superbill and your benefits.

Being transparent about payment allows us to focus on what matters most: your health, your goals, and supporting you to manage your symptoms with confidence and independence.