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Worcestershire Health and Care NHS Trust
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.

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

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

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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: