Self-refer for physiotherapy

To access NHS physiotherapy within Cambridgeshire & Peterborough please complete the form below.

All fields are required

Your personal details

Full name Date of birth

Day Month Year / /

Postcode The NHS in your area provides early access to specialist physiotherapy for back pain and sciatica.

What is the main reason for your referral today?

I have back pain and/or sciatica

I have a problem with another bone, muscle or joint

Please select your GP from the list below

Your contact details

Email address Mobile number