Make a Mobile Physio Referral

Make an Online Referral

If you’re looking to refer a client for mobile physiotherapy on the Gold Coast, please choose the referral form below that matches their funding type. Completing the correct form helps us process the referral quickly and ensures the client can access the right in-home physiotherapy support. Once submitted, we’ll confirm receipt within 1 business day and arrange the initial appointment. If you are referring on behalf of someone else, please also include your contact details so we can follow-up if needed.

If the client does not fall under NDIS or Support at Home funding, please complete our Contact Us form or call us directly on 0490 427 392.

For clients with a Home Care Package or transitioning to the new Support at Home program: Use this form to refer older adults receiving government-funded in-home care.
Add case manager and provider details: Helps us coordinate services, confirm funding availability, and arrange timely onboarding.
Eligible for NDIS participants (Self-Managed or Plan-Managed): Submit this form if the client is accessing physiotherapy through their NDIS plan.
Include support coordinator or plan manager details (if applicable): This ensures we can confirm funding and streamline service setup.