Online forms: MSK lower back pain: Referral to exercise
This form has 5 pages
This form is for medical professionals to refer a MSK lower back pain patient to a community exercise class.
Please note, referrals will not be accepted if blood pressure systolic is above 180 or diastolic is above 100.
This form requires you to attach a copy of the patient's current medication. Please have this file ready to attach before starting this form.