Get Please Note This Form Should Be Used To Access Physiotherapy For One Musculoskeletal

Completing the Please Note This Form Should Be Used To Access Physiotherapy For One Musculoskeletal online is a straightforward process. This form is designed to help users access necessary physiotherapy services for specific musculoskeletal complaints. Below, you will find step-by-step guidance to assist you in filling out the form accurately.

Follow the steps to fill out the form effectively and achieve your physiotherapy goals.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in your title, surname, and first names in the designated fields.
3. Enter your NHS number and date of birth. If you are under 16 years of age, you will need a direct referral from your general practitioner.
4. Provide your address and postcode in the specified sections.
5. Indicate if you are off work due to this problem by selecting 'Yes,' 'No,' or 'Don’t Work'.
6. Include your daytime contact telephone number and email address.
7. Enter your GP's name and address in the appropriate fields.
8. Describe any hobbies or activities that you are unable to carry out due to your condition.
9. Indicate if you are unable to sleep because of this problem and specify how many nights per week if applicable.
10. Detail the specific problem you are experiencing and indicate the affected body part on the picture provided.
11. Select whether you experience any pins and needles or numbness, and specify the location if applicable.
12. Describe how this problem started and the date it began.
13. Indicate if your condition has improved, remained the same, or worsened since it began.
14. If you have received any treatment for this condition recently or for a previous episode, provide the details.
15. Select whether the previous treatment was beneficial.
16. Review the relevant medical history and answer 'Yes' or 'No' to the listed conditions.
17. If you have current medication, list them as directed.
18. Indicate if you have any allergies and provide details if applicable.
19. Name up to five daily activities you have difficulty with and score them from 0 to 10 based on how well you can perform them.
20. Once all sections are completed, save your changes, and submit the form via email, mail, or fax to the appropriate addresses listed.

Start filling out the form online today to access your physiotherapy services!