Physical Therapist First. This model builds upon our current clinical model of a physical therapist co-located within the Duke Outpatient Clinic. This physical therapist has their own assigned treatment room, are known to the front desk scheduling staff for scheduling follow-up appointments, attend staff meetings and events and are considered a provider within the DOC system. Full support for their co-location is provided by the administration of the DOC and the Department of Physical and Occupational Therapy. The utilization of physical therapy services is considered standard care; however, the timing of services is unique given their co-location. This allows prompt access to not only physical therapy evaluation (billing for services occurs) but consultation with primary care provider (contact note for consultation in patients' medical records). For the current study, the investigators will utilize this already co-located physical therapist to be a front-line provider for musculoskeletal complaints of patients seeking care at the DOC. The physical therapist evaluation will be standard care for all patients seeking care to a physical therapist. It will not be modified in any way for the purposes of the study. If, at any time during evaluation the physical therapist determines that the patient would benefit from an additional primary care provider assessment, the patient will be scheduled for a primary care provider assessment, which may happen immediately following the physical therapist evaluation. In our experience these referrals from the physical therapist to primary care provider can occur within the same day, which adds considerable value to the efficiency of the integrated physical therapy model for those patients in need of additional primary care provider assessment.