How It Works
Complete Our Online Form
Tell us your symptoms, how long you have had them, and which area of your body is affected. Takes 5–10 minutes from any device.
Doctor Reviews Your Case
A GMC-registered UK doctor assesses your symptoms and issues your physiotherapy referral letter directly to your email.
Book Your Physio Appointment
Use your referral letter to book with any private physiotherapist or clinic. Present it to your insurer to activate your cover.
Do You Need a Referral Letter for Physiotherapy?
You likely need a referral letter if...
You have AXA Health or Aviva insurance — both typically require a GP referral before authorising physiotherapy sessions
You are booking physiotherapy at a private hospital such as Spire, Nuffield, or Circle, who may require a referral to guide treatment
You need post-operative rehabilitation following joint replacement, ligament repair, or orthopaedic surgery
Your physiotherapist or insurer has specifically requested a GP summary or referral letter before treatment begins
You have a complex or long-standing condition and want clinical context provided to your physiotherapist for safer, more tailored treatment
You may not need one if...
You are self-paying and booking directly with an independent physio clinic — most accept self-referrals for straightforward MSK conditions
You have Bupa insurance — Bupa typically offers direct access to physiotherapy without requiring a GP referral for most policies
You have Vitality insurance — Vitality also generally allows direct access physiotherapy without a GP letter
Your condition is straightforward and recent — a new minor sprain or strain where a physio can assess and treat without prior clinical context
Not sure if you need one? If your insurer or clinic has asked for a referral letter, or you want to ensure your insurance claim is valid — a FastDoc referral letter satisfies all standard requirements.
Conditions We Can Refer You For
Back Pain & Sciatica
Lower back pain, lumbar disc problems, sciatica with leg pain or numbness, and postural back pain from prolonged sitting or desk work.
Sports Injuries
Ligament sprains, muscle strains, tendon injuries, ACL and meniscus problems, Achilles tendonitis, and other activity-related injuries.
Knee Pain
Knee ligament injuries, patellofemoral syndrome, osteoarthritis, post-surgical knee rehabilitation, and pain from running or sport.
Shoulder Problems
Frozen shoulder, rotator cuff injuries and tears, shoulder impingement, and post-operative shoulder rehabilitation.
Neck Pain
Cervical spine pain, whiplash injuries, neck stiffness, headaches arising from the neck (cervicogenic headaches), and nerve-related arm symptoms.
Post-Operative Rehab
Structured rehabilitation following hip replacement, knee replacement, ACL reconstruction, rotator cuff repair, or other orthopaedic surgery.
Repetitive Strain & RSI
Work-related upper limb disorders, carpal tunnel syndrome, tennis or golfer's elbow, and repetitive strain injuries from office or manual work.
Hip & Ankle Problems
Hip pain and osteoarthritis, ankle sprains and instability, plantar fasciitis, and other lower limb musculoskeletal conditions.
Chronic Pain & Arthritis
Long-term joint pain, rheumatoid arthritis flare-ups, fibromyalgia management, and other chronic musculoskeletal conditions.
Not sure if your condition qualifies? Describe your symptoms in the form — our doctor will assess and advise.
Why Patients Are Choosing Private Physiotherapy
Long NHS Waits
NHS MSK physiotherapy initial assessments commonly take 4–12 weeks, with some trusts running at 18 weeks or more. Delayed treatment can allow musculoskeletal conditions to worsen and recovery to take longer.
Specialist Expertise
Private physiotherapists often specialise in specific areas — sports injuries, post-operative rehab, women's health, or neurology — meaning you see the right specialist for your condition, not a generalist.
Flexible Appointments
Private clinics typically offer early morning, evening, and weekend appointments. Initial assessments are often available within days, with follow-up sessions at intervals that suit your recovery.
Longer Sessions
Private physiotherapy sessions are typically 45–60 minutes compared to shorter NHS appointments, allowing more time for hands-on treatment, exercises, and personalised guidance.
physio wait in 2025/26
physio appointment
most physio conditions privately
What Your Physiotherapy Referral Letter Includes
Every referral letter includes:
Patient details — name, date of birth, and contact information
Presenting complaint — your symptoms, duration, and how they affect daily life
Body area and diagnosis — specific area referred (e.g. lumbar spine, right shoulder, left knee)
Clinical reason for referral — the doctor's assessment and why physiotherapy is recommended
Relevant medical history — previous injuries, surgeries, or conditions the physiotherapist needs to know
Doctor's full credentials — name, GMC registration number, and signature
Official PDF format — accepted by private physio clinics and insurers including AXA Health and Aviva
Trusted by Thousands Across the UK
Holly Rudorf
GB • Verified buyer

Absolutely Speechless
The consultant was professional, knowledgeable and very efficient. The whole service was smooth, well-organised and easy to use. I'd definitely recommend FastDoc.
Sab
GB • Verified buyer

Highly Recommended
I had been going back and forth with my local GP practice. This service was amazing and completely understood my needs.
swinkie
GB • 9 reviews

Very Simple
Very simple, easy process. Staff were great, especially Craig and the doctor's letter was exactly what I asked for. Excellent service.
Accepted By Major Private Physiotherapy Providers
FastDoc referral letters are accepted by any private physiotherapy clinic or hospital that accepts GP or consultant referrals.
What Is a Physiotherapy Referral Letter?
A physiotherapy referral letter is an official document written by a UK-registered doctor that recommends you for physiotherapy treatment. It provides the physiotherapist with clinical context — your symptoms, how long you have had them, relevant medical history, and the specific area to be treated — so they can design a more targeted treatment plan from your first session.
Unlike scans or X-rays, private physiotherapy does not legally require a GP referral, and many independent clinics will see you without one. However, a referral letter becomes essential when using private health insurance. AXA Health and Aviva typically require a GP referral letter before authorising physiotherapy sessions and issuing a pre-authorisation code. Without one, your insurer may decline to cover your treatment costs.
A referral letter is also commonly required or strongly recommended when accessing physiotherapy through a private hospital such as Spire, Nuffield, or Circle Health Group, for post-operative rehabilitation where clinical handover is important, or when your condition is complex and the physiotherapist needs a clinical summary before beginning treatment.
FastDoc referral letters are issued by GMC-registered doctors and meet all standard requirements for private healthcare and insurance purposes. You receive your letter by email as a PDF — ready to present to your physiotherapist or insurer immediately.
The FastDoc Promise
GMC-Registered Doctors
Every referral signed by a qualified UK doctor with full GMC registration
Insurance Accepted
Meets requirements for AXA Health, Aviva, and all major UK private insurers
Same Day Delivery
Receive your referral letter by email same day if ordered before 8pm
Refund Guarantee
Full refund if our doctor determines a referral isn't clinically appropriate
Frequently Asked Questions
Do I need a referral letter for private physiotherapy?
It depends on how you're accessing physiotherapy. If you're self-paying and booking directly with an independent clinic, most will see you without a GP referral. However, if you're using private health insurance — particularly AXA Health or Aviva — a GP referral letter is typically required before they will issue a pre-authorisation code and cover your sessions. Spire, Nuffield, and other private hospital physiotherapy departments may also request a referral letter. If your insurer or clinic has asked for one, a FastDoc referral letter satisfies standard requirements.
Does AXA Health require a referral for physiotherapy?
Yes, AXA Health typically requires a GP referral before authorising physiotherapy sessions under most policies. You will need a referral letter from a GP or registered doctor before contacting AXA to obtain a pre-authorisation code. FastDoc referral letters are issued by GMC-registered doctors and meet AXA's requirements. Always check your specific policy and obtain pre-authorisation before booking your first appointment.
Does Aviva require a referral for physiotherapy?
Yes, Aviva typically requires a GP referral letter before authorising physiotherapy treatment. Unlike Bupa and Vitality, which offer direct access physiotherapy pathways, Aviva generally requires the standard GP referral and pre-authorisation route. A FastDoc referral letter issued by a GMC-registered doctor meets this requirement. Confirm with Aviva before booking and ensure you have a pre-authorisation reference before your first session.
Does Bupa require a referral for physiotherapy?
Bupa generally offers direct access physiotherapy for most policies, meaning you can book and start treatment without a GP referral letter. However, some Bupa policies or specific conditions may still require a referral. Always check your policy details and confirm with Bupa before assuming direct access applies to your situation. If your Bupa policy does require a referral, a FastDoc letter will satisfy the requirement.
How quickly will I receive my FastDoc referral letter?
Same day if you order before 8pm on the Standard service (£44.95). Our Premium service (£59.95) puts you at the top of the queue for fastest processing. Once a GMC-registered doctor has reviewed your case and issued the referral, it is sent directly to your email as a PDF — ready to present to your physiotherapist or insurer immediately.
What conditions can you refer me for?
FastDoc can issue physiotherapy referral letters for a wide range of musculoskeletal and soft tissue conditions including back pain, sciatica, neck pain, sports injuries, knee pain, shoulder problems (including frozen shoulder and rotator cuff injuries), hip pain, ankle problems, repetitive strain injuries, post-operative rehabilitation, and chronic joint conditions such as osteoarthritis. If you are unsure whether your condition qualifies, describe your symptoms in the form and our doctor will assess.
How long will I wait for a private physiotherapy appointment?
With a FastDoc referral letter in hand, most private physiotherapy clinics can offer an initial assessment within 24–72 hours. This compares to NHS MSK physiotherapy waits of 4–18 weeks at many trusts. Evening and weekend appointments are often available at private clinics, and follow-up sessions can typically be scheduled within days rather than weeks.
What if the doctor doesn't think I need physiotherapy?
If our GMC-registered doctor reviews your case and determines that a physiotherapy referral is not clinically appropriate, you will receive a full refund and an explanation. We will not issue referrals that are not medically justified — clinical safety comes first. In some cases, the doctor may recommend a different specialist or course of action instead.
Can I use a FastDoc referral for NHS physiotherapy?
No. FastDoc referrals are for private healthcare only. NHS physiotherapy must be accessed through your NHS GP or via self-referral where available in your area. FastDoc helps you access private physiotherapy faster, without waiting for an NHS GP appointment or joining an NHS waiting list.
Is my information kept confidential?
Yes. All information you provide is encrypted, securely stored, and only accessed by the doctor reviewing your case. FastDoc is fully GDPR compliant and never shares your information with third parties without your explicit consent.
Other Specialist Referrals We Offer
Scan & Imaging Referral
MRI, CT, X-ray, ultrasound, DEXA and mammogram referral letters
Learn more →All Specialist Referrals
Cardiology, Dermatology, Orthopaedics, Mental Health and more
View all referrals →Work Sick Note
Official fit notes for workplace absence certification
Learn more →Workplace Adjustments
Medical letters for workplace modifications and accommodations
Learn more →Get Your Physiotherapy Referral Letter Today
Same day delivery if ordered before 8pm for £44.95. Choose Premium service at checkout (£59.95) for top of the queue processing. No GP appointment needed.
Get Your Referral Now — From £44.95

