Health Professional Online Referral

Please complete the form below to refer a patient to our team.

We welcome referrals from GPs, specialists, allied health professionals, and support coordinators. Each person referred will be contacted to organise an appointment with a suitable physiotherapist.

If you need to discuss the referral in more detail, please contact us:

mail@activerehab.com.au; mail@activewomens.com.au; toowong@activerehab.com.au; annerley@activerehab.com.au

Referrer Details

Patient Details

Referral Information

Other Referrals

If this is a self-referral or you’re referring someone you care for, please use the section below:

You do not need a referral to see a physiotherapist in Australia unless you are a Workcover, DVA or CTP patient.

Submit the person’s contact details below and our admin team will be in touch to organise care.

Name of Person Being Referred