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Scope of practice is an important legal and ethical principle that Massage Therapists

must observe at all times.

Massage Therapists perform specic assessments on their clients but they do not

diagnose. Thus, if a client presents with symptoms that are not identiably of a

muscolo-skeletal origin, you must refer them to a primary health care practitioner for

appropriate care and diagnosis.

Writing letters of referral not only enhances client care but also helps establish

professional credibility within the medical community.

Some common symptoms warranting referral

• Sudden or unexpected changes in health

• Untreated depression

• Sudden loss of appetite/unexplained weight loss

• Extreme pain

• Anything alarming

Massage Therapists can refer clients directly to:

• General Practitioners

• Sports Medicine Practitioners

• Chiropractors

• Osteopaths

LETTERS OF REFERRAL