| ||Plain text version|
| Professionals can use this form to refer someone you are supporting, through your organisation, to one or more healthy lifestyle services available in North Somerset. You'll need a new form for each person you refer. |
Questions marked with * are mandatory.
If you have any questions about this form, contact us by email or by phone on 01934 427 661.
Once you have submitted this form, the service/s you have referred to will be in contact with the person you have referred within 10 days.
|Choice of scheme(s) you want to refer the person to|
| ||* Which service or services do you want to refer someone to?|
Tick any that apply. Hover on the question mark to see information about that service.
| ||Services marked with a † also accept self-referral|
Health Trainers provide one-to-one support for up to 12 sessions (approx. 30 minutes per session). Topics of support covered include eat healthier, exercise more, lose weight, stop smoking and reduce alcohol consumption.