Working Health Services Lothian Occupational Therapy Dept. Astley Ainslie Hospital, 133 Grange Loan, Edinburgh, EH9 2HL Tel: 0131 537 9579 email:voc.rehab@nhslothian.scot.nhs.uk A free, rapid access service to Vocational Rehabilitation:Physiotherapy, Psychological Therapy & Occupational Therapy for: Employees of Businesses of Less Than 250 Personnel Employees Working anywhere in the Lothians Employees who are Off Work or Struggling to Stay in Work If you are able to tick all 3 criteria your client is eligible for referral to the service. Referrer’s Details Name: Designation: Base: Date of referral: / / Client’s Details Name: Date of Birth: / / Address: Postcode: Preferred tel. nos: Employer (Name & Location): Brief reason for referral (Tick all that applies) : Please return referral form to address above and we will contact client, alternatively clients can self-refer by calling 0131 537 9579 or email:voc.rehab@nhslothian.scot.nhs.uk