Physiotherapy Self-referral

1. Please note this Self-referral form does not replace medical advice for emergencies.

For emergencies, such as:
Severe breathing problems (e.g. can’t talk normally, turning blue and gasping)
Chest pain (e.g. like a tight band or heavy weight in or around the chest)
Stroke (e.g. unable to raise arm, one sided limb weakness or drooping face)
Severe injury/heavy bleeding that cannot be stopped
Fitting now/unconscious (e.g. cannot be woken)

Please call 999 to access urgent medical assistance.