Physio – Self Referral

Self referral form for Physiotherapy

Physiotherapy can be particularly beneficial if you are suffering from low back pain, neck pain, recent injuries such as strains and sprains or joint and muscular pain. Physiotherapists can so help men and women suffering with incontinence.

If you think you need to see physiotherapy, please fill out:

Physio Self Referral form

Unfortunately this service is not available if:

• you want to see a physiotherapist about a neurological or breathing problem
• you need a home visit
• you are under secondary school age (please note if you are under 16 you will need a parent or guardian to come to the assessment with you)
• if you want physiotherapy following a recent operation you will need a referral from your surgeon

If you have an acute problem appointments are available via the MSK Team at the Same Day Health Centre – appointments bookable via Lowther Medical Centre Reception.