If you are pregnant, or are within one year of having given birth and you would like to see a pelvic health physiotherapist, please click here to download a printable copy of the self-referral form. Once you have completed it, please email your copy to sath.pelvichealthtriage@nhs.net and we will be in touch as soon as possible.

Alternatively, please call us on 01952 282880 to have a copy sent out to you.