Book your appointment with Physio South East

A referral from your GP is not required to book a consultation appointment. We require you to complete a simple questionnaire on both your medical history and details of your injury below.

Answers to these questions will be used by the therapist in determining best advice and treatment as appropriate and will remain confidential.

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Your details

Title

First name

Surname

Date of birth

Address

City / Town

County

Postcode

Telephone number

Email address

Where did you hear about us? Required field

Your medical information

How would you rate your general health? Required field

Have you suffered any unexplained weight loss recently? Required field

Do you suffer from constant and severe night pain? Required field

Do you have any difficulty emptying your bladder or bowels? Required field

Do you have any numbness in the urogenital region? Required field

Do you suffer from night sweats? Required field

Please list your previous medical history (including any operations and investigations)

Your injury

Please detail your current physical problems

Please explain how your physical problems have occurred

How long have you experienced these problems / symptoms?

Your appointment

One of our therapists will review your information and will contact you within 48 hours to arrange an appointment at your convenience.

What are your preferred days and times for an appointment?
(e.g. Wed/Thu evenings)

Offer code

If you have received a promotional offer code, please enter it here.

If you make an appointment and are unable to keep the appointment for any reason you must provide at least 48 hours' notice. If you fail to do so you will be charged for the appointment and in submitting a request for appointment you agree to these terms.

A selection of the private medical insurers that recognise Physio South East is shown below. Please ask us to check if your insurer's logo is not shown. Your insurer may require a referral - please check with them.

What to expect when you attend an appointment:

It is likely that the therapist will need you to remove some or most of your clothing (dependent upon the condition to be treated) in order to provide assessment and treatment - please attend the appointment wearing suitable clothing and be prepared for this.
Close contact - in order for the therapist to assess and treat your condition it is likely that the therapist will need to have close contact with you.
The therapist will discuss your assessment and treatment options with you. It is essential that you discuss any issues with the therapist if you are uncomfortable with the assessment or treatment.
Please bring suitable clothing i.e. shorts/swimming costume and towel.
Please bring a carer with you if you require assistance with washing, dressing or using the toilet facilities.
Please bring a list of your current medication.