Your Details

General Practitioner Details

Social History

YesNo
YesNo

Medical History

Please check all the boxes that apply to you

DiabetesHigh blood pressureHigh cholesterolHypothyroidismCancerLeukemiaPsoriasisAnginaHeart problemsHeart murmurPneumoniaPulmonary embolismAsthmaEmphysemaStrokeEpilepsy (seizures)CataractsKidney diseaseKidney stonesCrohn’s diseaseColitisAnemiaJaundiceHepatitisStomach or peptic ulcerRheumatic feverTuberculosisHIV/AIDS

Functional History


YesNo


YesNo


YesNo

New Patients

New to Barefeet Physio? We are glad you here. We hope that you like the cut of our jib.*

If you are looking for a trusted home visiting kind of physio, we could be just what you need.

Stick around and see what we have to offer.

Give us a call or drop us a line and see if we can help you today.

*For those under 70 or unfamiliar with nautical terms: The jib was the triangular front sail on a ship. The cut of one’s jib referred to the shape or the way that a sailor sailed the jib. The saying, “I like the cut of your jib” means something like, “I like the way you sail”.

New Patient Form

New Patient Form

To make your transition to a new patient easy we have created an electronic form that you can fill out on the go. Please click the button below and fill out the form. Once this is done a Bare Feet team member will get back to you ASAP.

New Patient Form

FAQ's

If you are claiming through DVA, an EPC Medicare Program, WorkCover or CTP you will need a Doctors referral. Otherwise, you don’t.

Whatever you want to wear (unless it’s a Pirate theme and I will tell you in advance).

On the first visit, the physio will find out about your health, what you want help with and the goals you want to work towards. We will put a plan and program together during the first visit. If you need a follow up visit, it will be mainly about checking how you are going with your program and tweaking it if required.

Bare Feet Mobile Physio will provide an invoice with payment options or you can pay by Eftpos. If you have a home care package, talk to your coordinator about funding physio through your package.

A 10km radius of the Coffs Harbour CBD. We do visit Nambucca, Woolgoolga and South Grafton occasionally, so do ask even if you are out of area.

Call us on 0413638361 or email us: admin@barefeetmobilerehab.com.au

Absolutely.

$120 per visit. This includes travel and a 30 – 60 minute session. If you think the session was not good value, please let us know, and we won’t invoice you or your funder.

Services We Offer

Manual Handling & Workplace Training

Injury Case Management

Home Visit Mobile Physiotherapy
We Offer

New patient?

We welcome new patients and enquiries.

new patient information