Self – Referral form

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Please complete the online form below and it will be sent to the Medway Community Healthcare MSK Triage service.

The aim of the triage service is to receive and screen all the referrals and direct to an appropriate physiotherapy or community orthopaedic service. Once your referral has been read and screened by a senior clinician we will be in touch to arrange an appointment/onward referral.

Self-referral is only for patients aged 16 and over and we do not accept referrals for neurological or respiratory issues.

Please note we can only accept one referral for one body part. If you have pain in multiple areas you need to consult your GP.

Please note – this is not an emergency service and so if you have any serious issues please contact 111 or your GP.

Physiotherapy is provided by a number of different providers who offer appointments across Medway and Swale. Please indicate on the form if you have a preference of who you would like to see.

A list of services is provided below for your reference:

“Self-referral has the ability to improve patient outcomes by providing quicker access for acute conditions, preventing them from becoming chronic.” Chartered Society of Physiotherapy 2023

Published on: 19 February, 2025

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