Scroll to top COVID Updates Feedback Request a nursing or allied health service. "*" indicates required fields Which service are you interested in?*SelectPhysiotherapyOccupational Therapy AssessmentPodiatryNursingBehaviour SupportPhysiotherapyHow often are you requesting physiotherapy?SelectOne OffWeeklyMonthlyFortnightlyUnsureWhich physiotherapy services are you requesting? Balance and mobility assessments and exercise programs Strength training Musculoskeletal conditions- pain, joint stiffness, arthritis Provide an individualized home exercise program Chest Physiotherapy following acute chest infection or recent surgery Prescription of walking aides Gait training Falls risk assessment and prevention Education on conditions Carer (support worker/family) training on specific manual handling technique Other (please specify) Other Occupational TherapyWhat sort of occupational therapy assessment(s) are you requesting? Initial home safety assessment Daily living assessment Mobility Scooter assessment Pressure Care assessment Cognitive assessment Mobility/transfer assessment Equipment prescription Wheelchair prescription ADL/functional assessment Fall Prevention Home modification Other (please specify) Other PodiatryHow often are you requesting podiatry?SelectOne off6 weeklyWhat sort of podiatry services are you requesting? Standard podiatry treatment Annual diabetes/vascular assessment Other (please specify) Other NursingWhich nursing services are required? Continence assessment Cognitive assessment General assessment Catheter care How often are nursing services required?One offWeeklyMonthlyFortnightlyUnsureBehaviour SupportWhich behavioural support services are required? Review of Behaviour Support plan New Behaviour Support plan Functional behaviour assessment What are the behaviours of concern that require support?Your detailsWhat is the name of the person that will receive the service?* Are they already receiving services from Uniting? Yes No What is the name of the person making the request* This should be the first contact for further enquiries. We will contact you to collect further information such as GP health summary, medication chart and previous health professional reports.Please provide a phone number for the person making the request Please provide an email for the person making the request* How did you hear about Uniting?SelectI use other Uniting servicesHospital, health service or GPFriend or familySocial mediaSaw an advertisementSearch engine (e.g. Google)Other (please specify)Other
