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Worcestershire Health and Care NHS Trust
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web banner - MSK self referral form

Have you visited our self-help website ‘Move to Improve’ yet? Most of the conditions that cause aches and pains can be easily treated by you, at home. Move to improve provides advice and information from the Trust’s clinicians to help you do this. Click here for more information.

If after a period of self-care (up to 8 weeks), your condition still persists and referral to a physiotherapist may be necessary, you may self-refer here.

Your referral to the service will only be accepted if the following can be demonstrated – evidence of self-care, persistent symptoms despite self-care etc.

To self refer please enter the following information and press submit once. Once submitted you will receive a read receipt and email confirmation. 

Please note: it may take up to 16 weeks to contact you with an appointment. 

If your condition improves whilst waiting to be contacted and you no longer require an appointment please let us know: WHCNHS.Integratedcommunitymsk@nhs.net

Your referral will be triaged as urgent or routine by our physiotherapists within 72hours of us receiving your referral. Then you will be placed on the respective waiting list. We will contact you a few weeks before your appointment via letter or phone.



 

Our clinics: 


  • Evesham- Evesham Community Hospital, Waterside, Evesham WR11 1JT
  • Pershore- Pershore Community Hospital, Queen Elizabeth House, Queen Elizabeth Drive, Pershore, Worcs, WR10 1PS
  • Malvern- Malvern Community Hospital, 185 Worcester Road, Malvern, Worcestershire, WR14 1EX
  • Tenbury- Tenbury Community Hospital, Worcester Road, Tenbury Wells, Worcs, WR15 8AP
  •  Upton- Upton GP Surgery, Tunnel Hill, Upton-upon-Severn, Worcestershire WR8 0QL
  • Worcester- Crowngate Physiotherapy, 48-49 Friary Walk, CrownGate Shopping Centre, Worcester,WR1 3LE
  •  Droitwich- Droitwich Medical Centre, Ombersley Street East, Droitwich Spa, WR9 8RD

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Self-referral into the Integrated Community MSK Service
Do you have a joint or muscle condition, requiring treatment?
Patient details
Patient contact details
Define your condition
The Keele StarT back screening tool
(ONLY complete if this is a back referral)
Thinking about the last 2 weeks select your responses to the following questions: