Refer your patients - Stanmore Chiropractic Clinic

Patient referrals

Refer your patients to Stanmore Chiropractic Clinic

We have been providing expert imaging and specialised care to patients for a number of years. If you need further assistance from us, simply fill in our referral form and get in touch.

Our Referral Services

X-ray Imaging

Fast, high quality X-ray imaging for Chiropractors, Osteopaths and Physiotherapists

Rehab Referrals

Referrals from PT’s, yoga and pilates instructors for patients struggling with pain or limitation

TMJ referrals

Fast-track support for Dentists referring patients for functional TMJ and jaw issues

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Providing expert, honest, trusted care for Dentists, Personal Trainers, Yoga and Pilates instructors for over 15 years

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How to refer your patient

You Fill Out The Form

We make referring to us easy – fill out the below form and we will do the rest

We Contact the Patient

We schedule the patient in for their X-ray/Consultation

Simply fill in the below form to refer a patient to our practice and one of our team will contact the patient to arrange an appointment.

Referrer full name

Profession

Practice/Company

Referral email address

Referrer phone number

Patient full name

Patient phone number

Patient email address

Reason for referral

Additional information

Acceptance

I confirm that the patient is aware of this referral and has consented to their details being shared with Stanmore Chiropractic for the purpose of contact and assessment.