Please seek urgent medical assistance if you have a temperature, a hot swollen joint, suspected infection or feel generally unwell, or if you have noticed any changes to your bowel or bladder habits, numbness in between your legs or intimate area and DO NOT complete this form.
Please read before submitting this form
The MSK service can only accept referrals for people living in the Middlesbrough or Redcar and Cleveland county boundary areas and you should be registered with a GP practice in Middlesbrough or Redcar and Cleveland.
If you live outside this area please contact your GP, as a referral to the MSK service would be rejected.
The information you tell us on this referral form will enable the form to be triaged by a clinical practitioner and your referral will then be directed to the service that is most appropriate to help you at your first appointment. This may include, but is not limited to: physiotherapy, podiatry, the Tees Musculoskeletal Service and pain management services.
If you feel you would benefit from a physiotherapy assessment and discussion, please contact your GP practice as you may benefit from seeing a First Contact physiotherapy practitioner who are based in your GP practice. Your GP practice can arrange this appointment.
If your referral requires an initial assessment by your GP, your completed referral form will be returned to you and a copy sent to your GP practice.
Tees Musculoskeletal Service accepts referrals for
peripheral joint problems
peripheral soft tissue problems
We do not accept referrals for
spinal conditions including neck, upper back and lower back problems
patients who are already being treated in secondary care for the same problem
circulation problems or ulcerations
patients under 18 years of age
those with inflammatory arthritis such as rheumatoid arthritis
nerve related conditions
fractures or suspected fractures or tendon ruptures and Dupytrens contractures
if you feel very unwell
recent accident or injury
If you feel you need a more detailed assessment which may include further management, please continue with the self-referral form below: