Refer a Patient

Referral made easy

Complete the form below to refer a patient to Balance and Move Physiotherapy. We aim to contact all referred patients within one business day.

We welcome referrals from GPs, specialists, allied health professionals, NDIS planners, aged care coordinators, and workplace health and safety teams. All referrals are triaged promptly and we will communicate outcomes back to the referring practitioner.

Patient referral form

Don't fill this out if you're human:

Referring practitioner

Your full name *

Practice / Organisation

Phone

Email *

Patient details

Patient full name *

Date of birth

Patient phone

Funding type

Clinical information

Reason for referral / clinical notes *

Urgency

Attach supporting documents (optional — up to 2 files, 5 MB each)

File 1

File 2

We'll confirm receipt within one business day.

Prefer to refer another way?

You can also send referrals directly by email or fax. Our team is happy to assist with any questions about the referral process or suitable service options for your patient.

📧 admin@balanceandmove.com

📠 Fax: (07) 3544 3017

Referral made easy

Patient referral form

Referral submitted successfully

Prefer to refer another way?