Please note, we can’t accept self-referrals for anyone under the age of 16 as they will need to be referred by their GP.

Please be aware that due to the current changing situation with COVID-19, Physiotherapy self-referral appointments may be delayed or completed via telephone triage. Chesterfield Royal Hospital are following government advice and taking necessary precautions to ensure patients’ safety during this period.

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If Outside the UK OR UK plus other country:

If your GP is not listed, please call us on 01246 512173. We can then contact your GP to check they are happy for us to accept your self referral.

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Please tick those applicable:

For Pregnancy Related Pain:

Please complete the whole section below