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Referral Form


Please provide us with some preliminary information related to referral of this individual for exercise services through the UWA Exercise and Performance Centre. Please include primary reason for referral, and any other relevant information. 
 
Following completion of this referral we will get in touch with the individual and schedule an initial assessment with one of our exercise physiologists. This will allow us to conduct a subjective interview to establish an understanding of their goals, and then conduct relevant exercise capacity testing. From there we will introduce and outline the various program options and discuss the best fit to set this individual up within one of our clinical exercise streams. 

Our programs are delivered by Accredited Exercise Physiologists and assisted by students from the Masters of Exercise Physiology Course within the University of Western Australia. 

Our clinical program options range from 1-on-1 sessions through to small Studios and group classes. 

All program info can also be found on our website here and program flyers are available for download from this site. Private health rebates, NDIS/Medicare and other subsidies may apply and we do whatever we can to ensure money isn’t a barrier to individuals accessing services including bulk billing under Medicare TCA/CDMPs. 

Any queries do not hesitate to get in touch:
Email:  epc-sseh@uwa.edu.au               
Phone: 6488 3333 (please note our office is staffed part-time, please leave a message and we will return your call)

Kind regards,
The UWA Exercise and Performance Centre Team. 
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