For participants that meet eligibility and following informed consent by the research coordinator, measures about demographics and health status will be completed. Patients assigned to the physical therapist first group will receive an evaluation by a licensed physical therapist onsite at the Duke Outpatient Clinic and be provided with a treatment plan of care for their MSK complaint(s). This evaluation and treatment plan of care will follow standard care currently implemented in clinical practice. Patients may return to the DOC for follow-up treatments if the physical therapist deems this treatment to be medically necessary. Patients assigned to the primary care provider group will receive an initial evaluation from a licensed primary care provider onsite. The evaluation by the primary care provider will follow standard care for evaluating MSK complaints in primary care. During the evaluation, the primary care provider may decide to refer to physical therapy or not for the patients with a MSK complaint. If the primary care provider refers to physical therapy the patient will be randomly assigned to either see the physical therapist onsite at the DOC or be assigned a referral to an offsite physical therapy clinic of the patients choosing with the assistance of the research coordinator. If the primary care provider decides that physical therapy is not medically necessary, the patient will follow the usual plan of care and treatment recommendations provided by their primary care provider. Following the visit, with either the physical therapist or primary care provider, the research coordinator will ask the patient to complete a short patient satisfaction survey about the initial visit. At approximately 3-months later the research coordinator will contact all enrolled patients by phone to collect health status questions and satisfaction with healthcare. Also, at 3-months outcomes related to total and MSK costs/charges will be collected by Duke University Health System Finance, outcomes of opioid prescriptions and emergency department visits during the 3-month period will be collected by electronic health record / administrative data (DEDUCE) and appointments to physical therapy that were referred offsite will be collect by administrative data from the Department of Physical Therapy / Occupational Therapy. The investigators will also collect, by electronic health record, usual care measures of functional status. The study will end following the 3-month follow-up phone call and outcomes and data are collected.