Referrals

Refer a Client to Fitrme Health

Fitrme Health accepts referrals for physiotherapy, exercise physiology, therapy assistant support, NDIS allied health services, WorkCover rehabilitation, eligible bulk billed appointments, and community-priced allied health services.

Referral Pathways

NDIS ReferralGP ReferralWorkCover ReferralSupport Coordinator ReferralPlan Manager ReferralParent / Carer ReferralSelf-ReferralCommunity Price ReferralBulk Billing Eligibility Referral

Submit a Referral

Complete the form below and our team will review the referral and be in touch. Your progress is saved automatically.

Referrer Details

Referrer Name *

Organisation

Role

Phone Number *

Email Address *

Client Details

Client Name *

Client Date of Birth

Client Phone Number

Client Email

Parent or Carer Name (if applicable)

Funding & Service

Funding Type *

Service Requested *

Urgency

Clinical Information

Main Reason for Referral *

Client Goals

Relevant Medical History

Documents

Upload Referral Document

Click or drag to upload

Upload NDIS Goals / Plan Info

Click or drag to upload

Additional Information

Preferred Contact Method

PhoneEmailEither

Additional Notes

I confirm that I have consent to share this information with Fitrme Health for the purpose of this referral.