Call (02) 6156 2223

Submit a Referral

Referral

Entitled Department of Veterans’ Affairs (DVA) clients may be referred for clinically necessary Exercise Physiology treatment by their General Practitioner on a valid D904 referral form".


OR print referral here:


Download File
Patient Name:*
Date of Birth:*
Address:*
Suburb:*
Postcode:*
Reasons for Referral:
Relevant Past Medical History:
Would you like regular updates on
the progress of your patient?:
Signed:*

Patient Contact Info

Please fill in at least one of the fields below.
Patient Contact Phone:*
Patient Contact Email:*

About Us

Capital Hydrotherapy specialises in hydrotherapy, aquatic physiotherapy and rehabilitation. Capital Hydrotherapy is a water based exercise program, designed by Exercise Physiologists and Physiotherapists to specifically suit an individual’s needs

Contact Us

Capital Hydrotherapy - Deakin

Ph: (02) 6156 2223
8/2 King St, Deakin, ACT 2600

*Head office, assessments and home programming located here* 

Capital Hydrotherapy - Majura Park

Ph: (02) 6156 2223
29 Catalina Drive, Majura Park ACT 2609


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