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Physiotherapy self referral form

Accessing our service could not be easier. You do not need to visit a GP to access musculoskeletal physiotherapy outpatient services.

You can make a self-referral using the MyCare login page using this: https://mycare.encompass.hscni.net/MyChart/app/self-triageMy Care – Login Page

or you can complete the following form.

 

Downloads

Download a printable version of the referral form.

Frequently asked questions (FAQs) about self referral.