First Name
*
Please enter the patient's name if requesting on behalf of someone else:
Primary reason for wanting to sample physiotherapy?
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I'm new to physiotherapy and am not sure what to expect
I'm not sure if physio can help me and I would like to find out more
I've tried other therapists before, but they didn't specialise in helping people with neurological conditions or falls and balance problems
I have finished my NHS Physiotherapy sessions and I'm looking for support from a specialist to continue my rehab
I am enquiring on behalf of a family member or friend
I want a Home Visit service because getting out to clinic appointments is too difficult
Not sure
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What would you like to find out more about?
*
Falls & Balance Problems
Loss of Independence
Parkinson's Disease
Stroke Rehab
Joint & Muscle Aches & Pains
Not Sure/Other
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What does it stop you from doing?
*
How Long Have Your Suffered Or Worried?
*
Haven't - this is prevention not cure
1-2 weeks
2-4 weeks
1-3 months
Seems like too long (years)
So we can respond to your request, please tell us...
Where are you located?
*
East Dunbartonshire
North Lanarkshire
Glasgow
Milngavie
Bearsden
Kirkintilloch
Paisley
Other
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Phone
*
Email
*