Your responses to this questionnaire will be processed by an approved NHS data server. Your responses will be emailed to the Lewisham Hospital physiotherapy NHS mailbox and this information will be uploaded to your NHS records. We will delete any personal information stored locally, but may use anonymised data for service evaluation and improvement purposes. By completing this questionnaire you consent to us using your data in this way.
Please note that the self-referral pathway is currently only for patients who are registered with the Sydenham Green Group Practice. Please do not attempt to complete the referral if you are registered with another GP as your referral will be rejected.
1. In order to continue, please confirm that you have not already completed a physiotherapy self-referral for this problem