Thank you for visiting our referral page. Before you start your referral please note the following:

  • Missed appointments: if you do not attend an appointment your child may be discharged from the service.
  • Flat feet, in-toeing, out-toeing, bowed legs or knock knees are often part of normal development. Please see the advice and requesting support section of our website.
  • We do not accept referrals for dysfunctional breathing disorders.
  • Please refer to our adult physiotherapy service if someone is aged 16 or over.
  • Problems with foot or ankle pain (not trauma) can be seen by our podiatry service.
  • Problems with hand pain and trauma can be referred to the hand therapy service.
  • Problems with hand function should be referred to the children’s occupational therapy service.
  • Appointments can be at sites across Gloucestershire. We cannot guarantee appointments at a site close to your home or child’s school.
  • Please provide as much detail and information as possible.
  • Missing information may result in delay or your referral being declined.

You must have consent from the parent/s or legal guardian to complete this referral.

Children’s and Young People’s Physiotherapy Referral

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