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Thursday 24 August 2017
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Referral form for go2physio

You can access NHS physiotherapy without going to your GP first with go2physio. 

Physiotherapists are physical activity specialists working with you to enable you to manage your condition. They are expertly skilled to assess, diagnose, and manage patients with musculoskeletal conditions much in the same way as doctors. 

Musculoskeletal conditions such as muscle or joint problems like back pain, knee pain or sprains are best managed by Physiotherapists. Physiotherapists can transform people’s lives by:

  • Reducing pain
  • Improving quality of life
  • Keeping people out of hospital
  • Reducing disability
  • Reversing the deterioration of conditions


Physiotherapists will ensure that you will receive the most up to date and effective evidence based treatments for your problem.  Some physiotherapists are also qualified to administer injections or prescribe drugs without seeing your GP or Pharmacist.  For information about pain relief, please visit the NHS Live Well pages.

To self-refer via go2physio you  must meet these criteria:

  • You must be a Salford resident OR be registered with a Salford GP
  • You must be 16 or over


If you do not meet these criteria your referral will be rejected. Please see your GP.

» Indicates required fields

go2physio referral form
Are you under 16 years old? »
If "No" please complete this form.  Once the form has been completed it will submitted for review by an experienced physiotherapist and you will be provided with an appointment as appropriate. 
If "Yes", unfortunately we are not able to accept self-referrals for under 16s. Please book an appointment to see your GP.   
Personal details
Preferred contact method »
How many times have you visited your GP about this condition?  »
How did you hear about go2physio?  »
Presenting problem
Have you previously had NHS physiotherapy in Salford for this condition? »
Where are you experiencing your symptoms? »
How long have you experienced the problem? »
Are you currently pregnant? »
Appointment preferences
Where would you to prefer to attend?  »
What day of the week would you prefer?  »
What time of day would you prefer? »
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