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REFERRAL FORM

Please complete the REFERRAL FORM if you would like to book an appointment, and a member of our team will respond as soon as possible.  ​

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Required Services

Along with a brief description of the patient's condition and concerns

Preferred Time Slots for Home Visit

(can choose more than one)



Here's What You Need to Know...

Appointments last 60 minutes and are carried out at patient's home, or care homes, or any other mutually agreed-upon location.

Our physiotherapists are based in Manchester, with travel charges varying depending on the distance and estimated travel time.

In some cases, it may be necessary to adjust our initial estimate. Any significant changes to travel costs will be communicated in advance.

Payment for your first appointment is required prior to the appointment, via bank transfer.

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