Skip to main content

The Posture and Mobility Electronic Referral Form

The ALAS Posture and Mobility Service has acted on feedback from our referrers and User Group to produce an Electronic Referral form that makes it easier for referrers to complete, improve accuracy of content and increase the speed with which we are able to process the information.

To use the form, please click on the link below:

Electronic Referral

You must complete all sections marked in GREEN - Incomplete forms will be returned unprocessed.

You can save the referral to your PC or laptop.  Once it has been completed, you can send it to us on the e-mail address below, depending on if it is a South Wales or a North Wales referral.

For South Wales Referrals, please send to -

For North Wales Referrals, please send to -






Follow us: