Search the Herefordshire and Worcestershire Health and Care NHS Trust website

Advanced options

Community Physiotherapy in Worcestershire. Online Self-referral form.

If you live in Worcestershire, you can ask for physiotherapy by completing a form. We call this a self-referral form. You can do this without speaking to your GP.

Physiotherapy is helpful in treating problems with joints and muscles. If you are suffering from the following, please speak to your GP first.

  • Pain after a fracture or a fall in the last 12 months,
  • Carpal Tunnel syndrome
  • Fibromyalgia.

Before you fill out the online form. 

  • Have you been using the advice and tips on the self-help sections? You should try for at least 8 weeks. If not, you can access the self-help guidance here.
  • Are you still feeling pain or discomfort?
  • Are you registered with a GP in Worcestershire? This includes Evesham, Droitwich, Pershore, Malvern, Tenbury, Worcester, Upton, Redditch or Bromsgrove
  • Have you read the important symptom information  below? You will need to confirm that you do not have any of the symptoms.

If you have answered yes to all the above, please fill out the form. Please give as much detail as possible.

The form asks you for your body mass index (BMI). You can use the BMI Calculatorto gain your score. Is gives a measure that uses your height and weight.
Enter your details and press 'submit' once. After we get your form, we’ll send you a "read receipt". This is to confirm it reached us. This will be from a “no-reply” e-mail.
If you can’t use the online form, call 0300 790 0599. The phone lines are open Mon to Fri 8:30 to 12:30. They will send you a paper form in the post to fill out.

What happens after I have referred?

A physiotherapist will read your online form and decide what should happen next. We call this process triage. They will see how urgent it is. They will also decide how long it is until you hear back.

We will contact you by phone or letter and will offer you one of the below:

  • A face-to-face appointment with a physiotherapist. 
  • A phone appointment.
  • Refer to a specialist service.
  • Refer to the Joint Class.

After an appointment the physiotherapist may refer you to the Advanced Physiotherapy Practitioner Service. They may also refer you to other services such as:

  • Foot care (Podiatry). 
  • Functional restoration.
  • Strength or exercise classes. 

Online appointments

The team may use phone and video software. If a video call is not possible, we will call your phone. We will tell you at the time of booking.

Phone calls

Our phone number will show as withheld. It may show as ‘private caller’ or ‘number withheld’.

Video calls

If you are happy to have a video call appointment you will need.

  • to download the correct software to your device. This includes smart phones, tablets, laptops, and PCs.
  • a web camera and microphone.
  • an e-mail address.

We will email you the correct link for the call.

Contact

You can call 0300 790 0599. The lines are open Monday – Friday from 8.30am- 12.30. We can check the progress of your referral or to cancel an appointment.

Low back pain

‘Cauda Equina Syndrome’ is rare. It can cause permanent change to your bladder and/or bowel function, or foot strength. It happens when the nerves at the base of the spinal cord become squeezed. This can happen quite suddenly or slowly over time.

Do you have low back pain? Have you had any of the below changes since your pain started?

How your Bladder or bowel work. This includes

  • Finding it hard to urinate.
  • Finding it hard when you try to stop or control the flow of urine.
  • Loss of feeling when you pass urine.
  • Leaking urine or recent need to use pads.
  • Not knowing when your bladder is either full or empty.
  • Not able to stop bowel movements or leaking.
  • Loss of feeling when you pass a bowel motion.
  • Loss of feeling / tingling around genitals, back passage, bum or inner thighs.
  • Erectile or ejaculation problems or loss of feeling in genitals during sexual intercourse.
  • Loss of sensation/ tingling or numbness in both legs.
  • Weakness in foot. For example, not being able to lift front of foot when walking.

If yes, call NHS 111 or go to A&E right away.

Constant pain

Do you have constant pain and any of the following.

  • A history of cancer. 
  • Unexplained weight loss.
  • Feeling unwell, have a fever or lack of appetite.
  • Relentless night pain that doesn’t improve when you change your position in bed.

Please contact your GP as soon as possible. Your GP may need to do investigations before referring you to our service.