A method to evaluate a client by a physical therapist, which includes determining if a client is experiencing distress. If a client is experiencing pain, the method selects an evaluation algorithm responsive to the distress, wherein the selected evaluation algorithm comprises (N) evaluation factors. The method determines if any of the (N) evaluation factors is designated an Emergency Referral evaluation factor, and if any of the (N) evaluation factors is designated an Emergency Referral evaluation factor determines if the client's reported distress corresponds to a point rating of “5” for any of the Emergency Referral evaluation factors. If the client's reported distress corresponds to a point rating of “5” for any of the Emergency Referral evaluation factors, the method refers the patent for immediate emergency care.