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ONLINE REFERRAL FORM

We welcome referrals from healthcare professionals and support coordinators. Please complete our online referral form with your client’s details, and our team will be in touch to guide them through the next steps of their rehabilitation journey.

ONLINE REFERRAL FORM

Thanks for submitting!

THE CLINIC

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Ground Floor,

391 Ashmore Road,

Ashmore, QLD, 4215

Email: info@equiprehabilitation.com.au

Tel: 0400 758 119

Opening Hours:

Mon - Fri: 8am - 5pm 

​​Saturday: Closed ​

Sunday: Closed

© 2026 Equip Rehabilitation. All rights reserved. Privacy Policy

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