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Patient Self Referral Information

You are able to refer yourself for certain treatments please see details below for the available self referral services.


Community Physiotherapy Direct Referral Service

To arrange an initial telephone consultation with a physiotherapist please call
0300 300 0046
Monday to Friday 08:00 - 16:00

Please make sure you have the following ready:

  • Your NHS number (your GP should write this below)
  • Your current address and mobile/home number(s)
  • Next of Kin contact phone number(s)
  • GP Surgery Name/Address

Once our Booking Centre staff have taken your details, we will arrange a
telephone consultation with one of our qualified physiotherapists.

Hospital Physiotherapy Referral Service

To be referred to the Hospital Physiotherapy Service please complete the self referral form below, and send to the address on the bottom of the form.

Physiotherapy Self Referral Form


Podiatry Self Referral Application

Podiatry Self Referral Application form


Open Mind Self-Referral Information

  • You can telephone the Open Mind Service on 0116 292 7010


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