You can refer yourself for physiotherapy without visiting your GP first by downloading and completing the form below.
Please note: If you have any of the following, please see your GP before referring yourself:
- Changes in your bladder and bowel habits.
- A hot swollen joint.
- Constant severe pain and you are unable to find relief.
- Weakness, pins and needles, loss of feeling.
- History of cancer
Who is eligible?
Anyone over 16 years old who is registered with a GP in the Wigan Borough and has pain or discomfort in their muscles, joints or ligaments. You must be able to attend one of our outpatient departments; this form is not for patients who require a home visit.
Fill in all the boxes on the second page of the form and either post, email or hand deliver that page to one of the Physiotherapy Departments listed below:
Physiotherapy Departments
- Boston House, Wigan Health Centre, Frog Lane, Wigan, WN6 7LB, TEL: 03007071113, Email: wwl-tr.mskphysio-bostonhouse@nhs.net
- Platt Bridge Health Centre, Rivington Ave, Platt Bridge, Wigan, WN2 5NG, TEL: 0300 7071772, Email: wwl-tr.mskphysio-bostonhouse@nhs.net
- Leigh Health Centre, The Avenue, Leigh, WN7 1HR, TEL: 0300 707 1595, Email: wwl-tr.leighphysio@nhs.net
Please note these email addresses are for referrals only. Please do not use the email to contact department for any other purpose. Unless an email is encrypted the security of that email cannot be guaranteed.
What happens once the form has been received by us?
- Your referral form will be looked at by a Physiotherapist and we will decide whether we can help with your condition.
- When we are in a position to offer you an appointment, we will contact you.
Whilst awaiting your appointment, helpful advice can be found at:
- www.nhs.choices.co.uk
- www.arthritisresearchuk.org
If your condition changes after submitting your self-referral, please contact us for advice.