Client & Health Professional Referrals
At The Brain Physio, we specialise in neurological physiotherapy, providing expert care for individuals with neurological conditions. We work closely with healthcare professionals to ensure seamless, high-quality support for their clients. Choose a referral form below depending on your role and whether you have client consent.
Health Professional Referral
Who it's for: GPs, specialists, allied health professionals
Form Name: Health Professional Referral Form
Description: A short referral form submitted on behalf of a client who has consented, this form helps us understand key clinical history before we triage.
Client Self Referral
Who it's for: Clients, or anyone with the client’s consent (such as family members, or carers), who would like to refer themselves or someone they support.
Form Name: Self Referral Form
Description: If you're referring yourself or have consent, this form helps us learn about your needs, current challenges, and goals so we can recommend the best service pathway.
Support Coordinator/Case Manager Referral
Who it's for: Support Coordinators, Case Managers, or other professionals referring on behalf of a client (with their consent).
Form Name: Referral Form
Description: If you’re making a referral on behalf of a client, this form allows you to share details about their needs, current challenges, and goals. The information helps us recommend the most suitable service pathway and ensure the support we provide is aligned with the client’s circumstances.