Physiotherapy self-referral  

At the bottom of the page there is an online questionnaire designed to help you access musculoskeletal physiotherapy at St Leonard's.  

Please read the following information carefully to make sure Outpatient Physiotherapy is the right service for you.  

What is physiotherapy?  

Physiotherapy is a healthcare profession focused on assessing, diagnosing, and treating musculoskeletal injuries and conditions. It uses techniques like exercise, manual therapy, and education to promote recovery and performance.   

What is a musculoskeletal problem?   

Musculoskeletal (commonly referred to as MSK) problems, can affect your bones, joints, muscles, spine or nerves. They are a common cause of pain and disability and can affect you at any age.    

Common musculoskeletal problems:    

  • Osteoarthritis of the hip, knee, neck and back 
  • Back and neck pain
  • Muscles, tendons, ligament and nerve pain
  • Sports and exercise injuries 

Use this form if you:   

  • are 16 or over 
  • are registered with a City & Hackney GP Practice 
  • have a non-urgent musculoskeletal problem  

Do not use this form  if you:   

  • have an urgent health problem , if you feel your problem needs urgent attention, please contact your GP practice
  • have already been referred to Physiotherapy by your GP or First Contact Practitioner (FCP)
  • have an appointment with a FCP or GP already
  • have more than 2 areas of pain 

This form is not suitable for help with:   

  • a neurological condition (such as Stroke or Multiple Sclerosis)
  • a gynaecological condition (such as prolapse or incontinence)
  • a respiratory condition (such as Chronic Obstructive  Pulmonary Disorder (COPD) or Cystic Fibrosis)
  • lumps,  bumps or rashes
  • pain related to current pregnancy  

What happens after I complete the online questionnaire?  

  • Referral generated: upon completion, a referral is automatically sent to the physiotherapy department
  • Your referral will be triaged by a senior physiotherapist and you will be contacted by letter, call or text message advising you of the next steps. We aim to do this within 10 days of receiving your referral. 
  • Next steps could include
    • Referral accepted and added to waiting list for booking
    • Referral re-directed to GP for action if required
    • Telephone call from triage Physiotherapist to clarify information provided on referral

Can I still be referred to physiotherapy by my GP?   

Yes, if you would prefer to see your GP or FCP please contact your practice.   

Open the form here - https://forms.office.com/e/GTqCBK6k6q