Package Extensions Thanks for returning to PhysioWard Online. Please fill in this form if you are wishing to extend your physiotherapy package*. *This is only available within 3 months (90 days) of your initial physiotherapy consultation. Further Follow-Up Appointments Name* First Last Date of Birth* Date Format: DD slash MM slash YYYY Email* Injured Area*Followup Type*Single video consultationOne month unlimited consultationsTotal $ 0.00 Please read our terms... Terms & Conditions and Privacy Policy Note* I have read and agree to the Terms & Conditions and Privacy Policy