MSK Physiotherapy – Walking Aid and Splint self referral

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• 3 December 2021 Create Date
• 3 December 2021 Last Updated

You can now directly self-refer for a walking aid or splint using the form attached.

Please print and complete this form and post it to the most convenient physiotherapy department for you. A list of departments that offer this service are located on the second page of the form.

Once the department receives the referral one of our health care support workers will contact you by telephone.

If you are unable to complete this form, your GP can refer you.