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Please use the form below to request an self-booking link for a First Contact Physiotherapy appointment.

Date of Birth

Please use the mobile number you have registered with your GP Surgery. Your self-booking link will be sent to this number.

Which GP Surgery are you registered with?
Dockham Surgery
Drybrook Surgery
Forest Health Care
Mitcheldean Surgery
Severnbank Surgery
Yorkley & Bream Surgery

If your GP Surgery is not listed above we regret you are unable to use this service. Please contact your Surgery Reception who will be able to make alternative arrangements for you.

Would you prefer a telephone or face to face appointment?
Telephone Appointment
Face to Face Appointment at Ruardean Surgery

Please note the First Contact Physiotherapists cannot see

  • Anyone who is acutely unwell

  • Anyone under 16 years of age

  • Anyone attending for medical management of a rheumatoid condition

  • Anyone attending with women's health, ante-natal or post-natal problems

  • Anyone who is housebound

  • Anyone attending for medication review for a non-musculoskeletal condition

  • Anyone attending with a neurological or respiratory condition

  • Anyone with headaches

  • Anyone with an acute mental health crisis

  • Anyone who does not want to be seen by a first contact physiotherapist.

If you do not agree to your personal information being shared, please do not submit this form and contact Reception at your GP Surgery.

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