Physiotherapy Self Referral

Physiotherapy is a health-care profession concerned with human function and movement. Physiotherapists are the best professionals to consult for treatment of the following physical problems:

  • Muscle strains
  • Joint problems
  • Sports injuries
  • Osteoporosis
  • Respiratory conditions e.g. Asthma, Emphysema
  • Neurological conditions e.g. Stroke, Multiple Sclerosis, Parkinson’s disease
  • Cardiac Rehabilitation
  • Amputees


If you think that you need some physiotherapy advice for a back, neck, muscle or joint problem, you don't have to consult your GP first to be referred, and seeing your GP first will NOT get you a better or faster service.

Instead, you can simply refer yourself by completing the following form:

Physio Self Referral Form


Walking Aids

If you think you need a walking aid, like a stick or a frame, to help you get around in the house or outdoors, you can refer yourself to be assessed by a physiotherapist. You don't need to see your GP or nurse first.


Simply download and complete the form below, then send it to the address given on the second page.

Walking Aid Self Referral Form

Continence and Pelvic Health Service

Physiotherapy helps with a number of different problems that can affect the bladder and pelvis in women.  If you have any of the following issues, you can refer yourself to the specialist service that deals with them.

  • Female stress urinary incontinence (leakage on coughing, sneezing, laughing etc)
  • Female urgency, frequency and nocturia (needing to empty your bladder urgently and often and getting up at least twice overnight to go to the loo)
  • Symptoms of mild prolapse (sensation of something coming down)
  • Weak pelvic floor after childbirth including any of the above symptoms
  • Dyspareunia/Vaginismus (pain with intercourse due to involuntary pelvic floor muscle


Simply download and complete the form below, and send it to the physiotherapy clinic that 's most convenient for you.

Bladder and Pelvis Self Referral Form


NHS ScotlandThis site is brought to you by My Surgery Website