Referral & Contact Information
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Adult Service
This service is available for adults aged 18 years and older.
Referrals can be made by completing the referral form or by sending a referral letter with relevant clinical information via email.
Please include only necessary medical details to protect patient confidentiality.
Who Can Refer?
01.
Primary care physicians
02.
Neurologists
03.
Rehabilitation physicians
04.
Therapists
05.
Other healthcare professionals
06.
Self-referrals (where appropriate)
Our Process
The Referral & Assessment Process
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1. Referral Received
Your referral is reviewed promptly.
2. Initial Triage
A brief telephone consultation may be arranged to clarify concerns, goals, and suitability.
3. Face-to-Face Appointment
If appropriate, an in-person consultation is scheduled.
Please bring:
1. A current medication list 2. Orthoses or mobility aids 3. Relevant medical documents
Comprehensive Clinical Assessment
During the appointment, we will:
- Perform a detailed neurological examination
- Assess mobility, positioning, and orthotic use
- Review medications
- Discuss symptom control options
- Establish realistic, goal-oriented rehabilitation plans
All treatment decisions are guided by patient preference, clinical evidence, and ethical standards.
If botulinum toxin injections are not appropriate, alternative options may be discussed, such as:
- Functional Electrical Stimulation (FES)
- Nerve blocks
- Intrathecal Baclofen (ITB)
- Intrathecal Phenol (ITP), where appropriate
If Botulinum Toxin Is Recommended
- Written informed consent is required for the first treatment
- Injections are performed using anatomical or ultrasound guidance (subject to availability)
- A follow-up plan is agreed upon (typically 6–8 weeks)
- A clinic letter is sent to both the patient and their primary care physician
Patients receive contact information for concerns within 72 hours after the procedure.
Follow-Up Appointments
At repeat visits, we will:
- Review response to prior treatment
- Assess any side effects or health chang
- Re-evaluate goals and outcome measures
- Adjust the treatment plan if needed
- Provide updated documentation to the patient and GP
Repeat injections are offered only if clinically appropriate and aligned with patient goals.
Important Information
We strive to see patients at their scheduled time. However, due to the complex needs of many individuals (mobility, speech, or cognitive challenges), occasional delays may occur. We appreciate your understanding.
Our Values
Family members or caregivers are encouraged to attend appointments to assist with:
01.
Shared decision-making
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02.
Consent
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03.
Physical support
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04.
Understanding home programs (stretching, splints, positioning)
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05.
Excellence
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06.
Commitment
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