Physiotherapy self referral is a system which allows you to refer yourself to a physiotherapist without having to see a doctor first.

Please download and complete the self referral form and hand it to the reception desk at The Royal Orthopaedic Hospital Physiotherapy Department or post it to the address shown below. Please complete the form fully, giving as much information as possible.

Address: Physiotherapy Department, The Royal Orthopaedic Hospital, Bristol Road South, Northfield Birmingham, B31 2AP

Telephone: 0121 685 4120

Email: roh-tr.therapies@nhs.net

Referral Form