YOUR MOVE HEALTH
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    • About Your Move Health
    • How Can Exercise Physiology Help?
    • Meet Our Team
  • Services
    • Overview Of Services
    • Individual Consultations
    • Group Programs >
      • Strength & Conditioning Sessions
      • Circuit Training Sessions
      • STRONG Oncology Program
    • Group Timetable
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Refer To Us

If you would like to refer a patient for Exercise Physiology Services with Your Move Health, please fill out the online referral form.
Alternatively you can fax referrals to Your Move EP on (03) 8692 6238.

If you are referring a patient under Medicare (either EPC/TCA or Diabetes Group), you can download the appropriate referral form below.
​
If you are referring an oncology patient to our STRONG Group program, please download the appropriate referral form below.

​Please do not hesitate to contact us if you require more information about referring your patient to us, or to enquire about the 

Online Referral Form

    Referring Practitioner's Details

    Please enter the name of the referring health care practitioner.
    Please indicate the referring practitioner's discipline. (eg. GP, endocrinologist, physiotherapist)
    Please enter the name of the practice at which you work

    Patient's Details

    Please indicate the patient's funding eligibility (if known)
    Please include any relevant information relating to this referral, including (but not limited to): active health conditions, medications, other treatments, clinical goals, concerns or contraindications, etc.
Submit

Clinic Contact Details

Your Move Health
2/103 High Street
Hastings
Vic 3915
Phone:   (03) 5904 6239
Fax:         (03) 8692 6238
Email:     contact@yourmovehealth.com.au

Medicare Referral Forms

Allied Health CDM Referral
File Size: 141 kb
File Type: pdf
Download File

Diabetes Group Referral
File Size: 73 kb
File Type: pdf
Download File


STRONG Group Referral Form

STRONG Group Referral
File Size: 285 kb
File Type: pdf
Download File


Send us an email:    contact@yourmovehealth.com.au​
​Follow us on Facebook for regular posts containing information, ideas and research updates about exercise and health.
If you like what we do, please spread the word and share us with your friends.

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​Your Move Health
ABN: 41 772 278 482

​
Copyright © 2022

  • Home
  • About
    • About Your Move Health
    • How Can Exercise Physiology Help?
    • Meet Our Team
  • Services
    • Overview Of Services
    • Individual Consultations
    • Group Programs >
      • Strength & Conditioning Sessions
      • Circuit Training Sessions
      • STRONG Oncology Program
    • Group Timetable
    • TeleHealth
  • FAQ
  • Resources
  • Refer
  • Contact