Request an appointment

To request an appointment online please complete the form below

We will endeavour to contact you as soon as possible in relation to your preferred time.

As you are probably aware its not always possible to get the exact time you request but we will do our best to fit you in.
If you have a preferred location and provider please select these also.

We also offer a Saturday clinic at our Colombo Street clinic 9am - 12pm with our On Call physiotherapist - please select this option when making your request


Full Name:              *required  
Date of Birth  *required  
Email:  *required  
Phone: * required  
Preferred Day or Date    
Preferred Time  
(Please give a range of times that suit)
Preferred Location PS @ Colombo Street             Preferred Provider         
  PS @ Cityfitness Moorhouse  Preferred Provider         
  PS @ Pioneer                          Preferred Provider         
  PS @ Moorhouse Medical       Preferred Provider         
  PS @ Northwood                     Preferred Provider         
  PS @ Kaiapoi                          Preferred Provider         
  PS @ Riccarton                       Preferred Provider        
  PS @ Waikari                            Preferred Provider        
  PS @ Linwood                         Preferred Provider        
  PS @ Pegasus                        Preferred Provider        


  Saturday Clinic                         Colombo Street Only 9am - 12  
ACC Related  
New Patient or Returning Patient    New Injury or Return Visit        
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