If you think you need Physiotherapy you may not need to see your GP

You now have the option of referring yourself to the Musculoskeletal Physiotherapy Outpatient Service
Are you suitable for Self-Referral?

1. Please read the leaflet attached to see if you think you qualify  Physio Patient Self-Referral Leaflet

2. If you believe you are suitable, please fill in PART A of the following form ONLY Patient Self-Referral Form for Physiotherapy

3. If you have answered NO to ALL the questions in PART A, please fill in PART B and send the form using one of the methods below:


Scan / email

Post: Physiotherapy Outpatients, Level 3, Salisbury District Hospital, Odstock, Salisbury, SP2 8BJ


Please note you can also pick up Self-Referral Forms from Reception