Riverside Medical Practice > Clinics & Services > Appointments, Tests & Referrals > Referral to Musculoskeletal Advanced Practitioner Physiotherapist

Referral to Musculoskeletal Advanced Practitioner Physiotherapist

 Mary Campbell – Advanced Physiotherapy Practitioner

You can now book for an assessment with a musculoskeletal advanced practitioner physiotherapist. Our skilled physio will complete an assessment detailing the nature of the problem along  with a physical examination. For an appointment please complete our MSK self-referral online form below or call the practice. You can also contact physiotherapy service on 0800 917 9390. 

Not appropriate 

  • Children under 16
  • Pregnant women
  • Patients requiring home visits
  • Headaches and pain from non MSK causes
  • Patients requiring prescriptions and fit notes

Please note there is no email notification sent once you have completed this form, a system, acknowledgement will be displayed. Please ensure that when using our online forms you enter your correct email address. The Practice will not be held responsible for any information that the patient has incorrectly entered.

Self-referral Physiotherapist
Do you have a problem that affects your neck, back, bones, joints or muscles? *

Please contact the Practice or if we are closed please call NHS 111 for further advice, if you have other symptoms.

Do you feel you need an urgent appointment today? *
Do you feel quite unwell with your pain? *
Are you pregnant? *
Are you under 16 years of age? *

Please contact the surgery or NHS24 on 111 if the surgery is closed.

Please contact the mid-wife as she can arrange for you to see a specialist.

Your details

Please provide your details and a member of our team will be in touch.

Please use format day/month/year e.g. 12/05/1979

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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