Self Referral into MSK Physiotherapy Service

We can only accept self-referrals which fall within the Cwm Taf Morgannwg Health Board catchment area

This is not a Pelvic Health Physiotherapy self-referral form. For Pelvic Health Physiotherapy please contact 01443 715012

If you are unable to complete this form electronically please ring 01443 715012

If referring in due to back pain, before continuing please watch this video! If you have any symptoms discussed in the video from 1 minute 20 seconds onwards please seek urgent medical advice!