1300 4 MY REHAB | 1300 469 734 info@myrehabteam.com.au
My Rehab Team
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ONLINE REFERRAL FORM (non-NDIS)

Please complete the form below. We will get back to you with an appointment time within 24 hours.
  • If this is for an NDIS participant please use this NDIS Referral Form.

  • CLIENT DETAILS:

  • Date Format: DD slash MM slash YYYY
    dd/mm/yyyy
  • Eg. johndoe@hotmail.com If client does not have an email address, it can be email of next-of-kin etc. We need it for invoicing purposes.
  • (where therapy is requested, usually where client lives)
  • SERVICES SELECTION:

    Please select the appropriate services.
  • GP / REFERRER:

    Please provide the details of client's GP or referrer.
  • FUNDING OPTIONS:

  • As we are not bulk billed, Medicare requires full payment before sending back rebate. Our sessions cost $88 for a 20 min podiatry, $99 for 30 min of other therapies (pls indicate below if you need longer sessions). Travel fee may be required if location is >20km from Sunnybank. We will send invoice to your email after the appointment.
  • CLIENT ASSESSMENT:

  • What is this? This is to stop SPAMMING by robots and tells us you’re human. Please type the words you see and add a space between each word.
  • This field is for validation purposes and should be left unchanged.
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About My Rehab Team

My Rehab Team's vision is to help people toward an increased sense of ability and confidence. Our team does this by being multi-disciplinary, mobile at flexible locations and multi-cultural.

Our trans-disciplinary practice ethos ensures seamlessness of care and broadens the skills of our clinicians. By having our clients (expert patients) consulting our team, we are able to evolve with your changing needs.

Our skills in neurological rehabilitation, physiotherapy, occupational therapy, podiatry, speech pathology and dietetics all combine to help ensure our clients receive the best outcomes.

Recent News

  • Choosing the right wheelchair-vehicle combination
  • Assistive Technology – the new general AT template
  • Assistive Technologies for Parkinson’s
  • Freezing in Parkinsons

Contact Us



PO Box 8254, Sunnybank, QLD 4109



1300 4 MY REHAB | 1300 469 734



07 3056 3264



info@myrehabteam.com.au

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