{"id":824,"date":"2023-06-13T21:10:49","date_gmt":"2023-06-13T20:10:49","guid":{"rendered":"http:\/\/www.parkhousespa.co.uk\/?page_id=824"},"modified":"2026-05-13T23:05:14","modified_gmt":"2026-05-13T22:05:14","slug":"aquatic-therapy-referral-form","status":"publish","type":"page","link":"https:\/\/www.parkhousespa.co.uk\/?page_id=824","title":{"rendered":"1 Aquatic Therapy Referral Form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-657b8896-3003-4784-a43a-f59bcfacb483\" id=\"wpforms-816\"><form id=\"wpforms-form-816\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"816\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F824\" data-token=\"f7a8da72bfcb25234013425b857f8889\" data-token-time=\"1779659142\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-816-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Please supply more details regarding the above if not patient self-funded <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-816-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" required><label for=\"wpforms-816-field_2\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-816-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" required><label for=\"wpforms-816-field_2-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-816-field_4-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_4\">Date of Birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-816-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" step=\"any\" required><div class=\"wpforms-field-description\">DDMMYYYY<\/div><\/div><div id=\"wpforms-816-field_5-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_5\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-816-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/textarea><\/div><div id=\"wpforms-816-field_6-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_6\">Mobile Phone Number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-816-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" step=\"any\" required><\/div><div id=\"wpforms-816-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_7\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-816-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-816-field_9-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"9\"><label class=\"wpforms-field-label\">Referring GP \/ Specialist <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-816-field_9\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][9][first]\" required><label for=\"wpforms-816-field_9\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-816-field_9-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][9][last]\" required><label for=\"wpforms-816-field_9-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-816-field_8-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_8\">GP Address <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-816-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/textarea><\/div><div id=\"wpforms-816-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><label class=\"wpforms-field-label\">Type of Intervention <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-816-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_10_1\" name=\"wpforms[fields][10]\" value=\"Disease modifying aquatic therapy\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_10_1\">Disease modifying aquatic therapy<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_10_2\" name=\"wpforms[fields][10]\" value=\"Symptomatic relief\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_10_2\">Symptomatic relief<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_10_3\" name=\"wpforms[fields][10]\" value=\"Recreational swim or exercises\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_10_3\">Recreational swim or exercises<\/label><\/li><\/ul><\/div><div id=\"wpforms-816-field_11-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_11\">Condition\/s requiring aquatic therapy <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-816-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/textarea><\/div><div id=\"wpforms-816-field_13-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_13\">Therapeutic aim <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-816-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/textarea><\/div><div id=\"wpforms-816-field_15-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"15\"><label class=\"wpforms-field-label\">Is progress\/attendance report required? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-816-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_15_1\" name=\"wpforms[fields][15]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_15_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_15_2\" name=\"wpforms[fields][15]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_15_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-816-field_14-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"14\"><label class=\"wpforms-field-label\">5.\tRequired services in hydrotherapy pool <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-816-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_14_1\" name=\"wpforms[fields][14][]\" value=\"1to1 Aquatic physiotherapy session\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_14_1\">1to1 Aquatic physiotherapy session<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_14_2\" name=\"wpforms[fields][14][]\" value=\"Physio led aquatic group therapy Arthritis\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_14_2\">Physio led aquatic group therapy Arthritis<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_14_3\" name=\"wpforms[fields][14][]\" value=\"Physio led aquatic group therapy Knee \/ Hip replacement\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_14_3\">Physio led aquatic group therapy Knee \/ Hip replacement<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_14_4\" name=\"wpforms[fields][14][]\" value=\"Physio led aquatic group therapy Back pain and balance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_14_4\">Physio led aquatic group therapy Back pain and balance<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_14_5\" name=\"wpforms[fields][14][]\" value=\"Aquatic therapy self-practice with individual exercise card\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_14_5\">Aquatic therapy self-practice with individual exercise card<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_14_6\" name=\"wpforms[fields][14][]\" value=\"Group Aquatic therapy self-practice with individual exercise card\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_14_6\">Group Aquatic therapy self-practice with individual exercise card<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_14_7\" name=\"wpforms[fields][14][]\" value=\"Aquatic fitness group\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_14_7\">Aquatic fitness group<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_14_8\" name=\"wpforms[fields][14][]\" value=\"Disability swim\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_14_8\">Disability swim<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_14_9\" name=\"wpforms[fields][14][]\" value=\"Swimming lessons SEND child\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_14_9\">Swimming lessons SEND child<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_14_10\" name=\"wpforms[fields][14][]\" value=\"Swimming lessons adult\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_14_10\">Swimming lessons adult<\/label><\/li><\/ul><\/div><div id=\"wpforms-816-field_21-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"21\"><label class=\"wpforms-field-label\">Please indicate how the treatment \/ services will be funded <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-816-field_21\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_21_1\" name=\"wpforms[fields][21]\" value=\"Patient Self-funded\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_21_1\">Patient Self-funded<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_21_2\" name=\"wpforms[fields][21]\" value=\"Local Authority\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_21_2\">Local Authority<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_21_3\" name=\"wpforms[fields][21]\" value=\"Integrated Care Board\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_21_3\">Integrated Care Board<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_21_4\" name=\"wpforms[fields][21]\" value=\"Charity\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_21_4\">Charity<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_21_5\" name=\"wpforms[fields][21]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_21_5\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-816-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_22\">Please supply more details of funding if not self-funded<\/label><input type=\"text\" id=\"wpforms-816-field_22\" class=\"wpforms-field-medium\" name=\"wpforms[fields][22]\" ><\/div><div id=\"wpforms-816-field_16-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"16\"><label class=\"wpforms-field-label\">Contraindications for Aquatic Therapy (see separate form) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-816-field_16\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_16_1\" name=\"wpforms[fields][16][]\" value=\"Not assessed\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_16_1\">Not assessed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_16_2\" name=\"wpforms[fields][16][]\" value=\"No contraindications identified\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_16_2\">No contraindications identified<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-816-field_16_3\" name=\"wpforms[fields][16][]\" value=\"Other (please give details below)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_16_3\">Other (please give details below)<\/label><\/li><\/ul><\/div><div id=\"wpforms-816-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-816-field_17\">Details regarding Contraindications<\/label><input type=\"text\" id=\"wpforms-816-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-816-field_18-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"18\"><label class=\"wpforms-field-label\">Mobility and assistance required from the site <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-816-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_18_1\" name=\"wpforms[fields][18]\" value=\"Not assessed\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_18_1\">Not assessed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_18_2\" name=\"wpforms[fields][18]\" value=\"Wheelchair access\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_18_2\">Wheelchair access<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_18_3\" name=\"wpforms[fields][18]\" value=\"Hoist to water from changing table or wheelchair\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_18_3\">Hoist to water from changing table or wheelchair<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_18_5\" name=\"wpforms[fields][18]\" value=\"Steps to water\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_18_5\">Steps to water<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_18_4\" name=\"wpforms[fields][18]\" value=\"Hoist operating assistance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_18_4\">Hoist operating assistance<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_18_6\" name=\"wpforms[fields][18]\" value=\"Poolside care giver assistance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_18_6\">Poolside care giver assistance<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_18_7\" name=\"wpforms[fields][18]\" value=\"In water assistance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_18_7\">In water assistance<\/label><\/li><\/ul><\/div><div id=\"wpforms-816-field_19-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"19\"><label class=\"wpforms-field-label\">Water confidence (pool depth 1.35m) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-816-field_19\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_19_1\" name=\"wpforms[fields][19]\" value=\"Not assessed\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_19_1\">Not assessed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_19_2\" name=\"wpforms[fields][19]\" value=\"Confident swimmer\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_19_2\">Confident swimmer<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_19_3\" name=\"wpforms[fields][19]\" value=\"Swimmer\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_19_3\">Swimmer<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_19_4\" name=\"wpforms[fields][19]\" value=\"Non swimmer over 1.5m height\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_19_4\">Non swimmer over 1.5m height<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_19_5\" name=\"wpforms[fields][19]\" value=\"Non swimmer under 1.5m hight\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_19_5\">Non swimmer under 1.5m hight<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-816-field_19_6\" name=\"wpforms[fields][19]\" value=\"Water fear\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-816-field_19_6\">Water fear<\/label><\/li><\/ul><\/div><div id=\"wpforms-816-field_20-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"20\"><label class=\"wpforms-field-label\">Form Completed by <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-816-field_20\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][20][first]\" required><label for=\"wpforms-816-field_20\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-816-field_20-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][20][last]\" required><label for=\"wpforms-816-field_20-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"816\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.parkhousespa.co.uk\/index.php?rest_route=\/wp\/v2\/pages\/824\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-816\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.parkhousespa.co.uk\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.parkhousespa.co.uk\/?page_id=144\">Back to Aquatic Therapy Page<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.parkhousespa.co.uk\/\">Back to Main Page<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Back to Aquatic Therapy Page Back to Main Page<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":179,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-824","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Aquatic Therapy Referral Form1 Aquatic Therapy Referral Form - Park House Spa<\/title>\n<meta name=\"description\" content=\"Aquatic Therapy Referral Form, GP referral, physiotherapist referral, pain clinic referral, appointment, chartered aquatic physiotherist\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.parkhousespa.co.uk\/?page_id=824\" \/>\n<meta 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