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Clarendon Lodge Medical Practice
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Self-Referral Physiotherapy

Self refer for physiotherapy for various musculoskeletal issues including:

  • Back or Neck pain
  • Recent Strain or Sprain
  • Joint or Muscle Pain
  • List of conditions not included

You can refer yourself directly to the Physiotherapy team without seeing your GP. Just complete the above form fully and send the referral to the Physiotherapy Booking Centre via various different means.

New physiotherapy self referral form - go live 10th May

We have updated our process for the Musculoskeletal Physiotherapy Self Referrals by improving how the form is submitted to us, it is now fully electronic (no need to post or email the form when completed). Please follow the link: https://bit.ly/3FebmcU which gives you the referral criteria and access to complete the form.

For any questions please contact therapies@swft.nhs.uk

Recommended: Complete their online form via this link
Post: Print the Self-referral Physiotherapy form (DOCX, 52KB) and post to Physiotherapy Booking Centre, Warwick Hospital, Lakin Road, Warwick, CV34 5BW
Email: Complete the form above and email to therapies@swft.nhs.uk
Hand delivery: Complete the form above and drop off at the Physiotherapy Booking Centre, Warwick Hospital, Lakin Road, Warwick, CV34 5BW

Please note at some sites your first appointment may be in a class setting

Approx. five working days after the Physiotherapy Booking Centre has received your referral form please telephone 01926 608068 to book your appointment (Please note: the booking centre co-ordinates appointments for all South Warwickshire’s NHS Physiotherapy Clinics). If this is not done after completing the form you will be DISCHARGED.

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Clarendon Lodge Medical Practice

Clarendon Lodge, 16 Clarendon Street, Leamington Spa, Warwickshire, CV32 5SS

  • 01926 331401
  • enquiries@clmp.nhs.uk (Please do not send clinical queries or attachments to this email address. They will be discarded. Instead use our online forms found on the homepage)
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