Physiotherapy, Acupuncture & Massage
Call Us: 0121 439 4730 | 07722 327546

Occupational Health Physiotherapy Referral

Please complete this form to self-refer, or refer your staff members, to our Occupational Health Physiotherapy service.  Alternatively you can provide all the relevant information in a direct email, or call the clinic on 07722 327 546.  The patient will be contacted by our Admin staff and offered an appointment in line with your organisation’s agreement with us.  For any queries, please contact the clinic via phone or email.

Is patient currently (or at risk of being) off work sick?(required)

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