Referral Submitted
A Second Skin team member will be in touch
New Referral
First we need to ask a couple of questions
1. My relation to the client is
Physiotherapist
Occupational Therapist
Parent/Carer
Self Referral
Doctor
Case Manager
Other
2. My referral relates to
Dynamic Splinting - Neurological
Compression Garments - Burns, Trauma, Medical
Other
3. I require
Quote
Written Report
Discussion with Senior Therapist
Other
1
Your Details
2
Client Details
3
Therapist Details
4
Additional Info
5
Upload
6
Review
Client Details
What are the clients abilities e.g. hand function, sitting, standing, walking etc?
What would you like a Second Skin splint or garment to improve?
Primary Therapist / Treating Specialist
Additional Information
Upload Photos & Videos
Your digital photos and videos are a very important part of the referral process. When photos are received, our team will contact you to feedback their recommendations regarding the splint or garment which will best meet your client's needs. We are unable provide a written report without viewing photos and/or video.
Maximum file size is 700MB (megabytes) for photos and videos. Uploading large video files can take up to one hour per video file. If your video files are over 700MB please compress your video files to a smaller size using a free tool such as HandBrake.