Dr. Gesik, being an osteopathic physician board certified in family medicine and sports medicine, does not require a referral from your primary care physician. ** You can schedule directly with Dr. Gesik for OMT for any musculoskeletal pain of the spine and extremities.  She will collaborate with your primary doctor for medical management and submit detailed reports regarding your musculoskeletal diagnosis and proposed treatment plan.  You do not have to change physicians to see Dr. Gesik.  She will collaborate with your primary care physician to treat any musculoskeletal pain or strain problems you may have.  Following short-term OMT treatment, you will return to your primary care doctor for your ongoing medical needs. **Some plans including HMO may require a referral from your primary care provider.  Please contact your insurance carrier to inquire about referral policies and coverage for OMT under your given plan.