Sport and Exercise Medicine Service Referral

Make a Referral to the Sport and Exercise Medicine Service at the White House Clinic.

If you have any supporting documentation, please upload it here.

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The referrer and the patient will receive a confirmation email.

By completing this form, the referring party confirms the details are accurate and that the appropriate documentation has been provided to the client.

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Important Points to Note
  • Injection Information Leaflet

    If the client has been referred for an injection, please ensure that the Injection Information Leaflet is provided. Please scan the QR code below or click here.

    Ultrasound Guided Injection QR code
  • If client is not suitable for the procedure

    If the client attends for an injection and is deemed unsuitable for the procedure, they will only be charged for the consultation.

  • Other Services Offered by SEM

    - Referrals for consideration of further Imaging and blood tests
    - Advanced Ultrasound Guided Procedures (Hydro dilatation, High Volume Injection, Barbotage)
    – More info can be found here.

  • Note

    Clients will need to be assessed at an initial Consultation Assessment for suitability for these advanced procedures.

Our team are ready and waiting to assist with your recovery.

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