Upbeat Exercise Referral Scheme Upbeat is provided by NHS Calderdale & Calderdale Council Contact Details by email to: [email protected] or by post to: Upbeat Scheme Activity and Community Development Huddersfield Road, Halifax, HX3 0AQ or visit our web site at: www.calderdale.gov.uk/sport November 2012. Information was correct at the time of printing. Referral Form Upbeat Adults Please Note - If you have a heart condition or have been diagnosed with High Blood Pressure or Diabetes in the last 3 months you must be referred by a health professional. Otherwise simply fill in the form below and send it to us by post or email. Once we have received your referral, we will contact you to book onto a course. Please send marked Private and Confidential to: Upbeat, Spring Hall Mansion, Huddersfield Road, Halifax, HX3 0AQ. Tel: 01422 284411 Email: [email protected] Website www.calderdale.gov.uk/sport Name Date of Birth Male Female Address Postcode Contact number Mobile Email address GP Surgery GP Name Please tick all medical conditions which apply: Overweight (BMI 30+) Angina Diabetes Stroke / TIA High Blood Pressure Heart disease / CVD Signed Date Print Upbeat Families Referral Form over leaf ! If you would like this information in another format or language, please contact: 01422 284411
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UpBeat Families
Upbeat Exercise Referral Scheme
Upbeat is provided by NHS Calderdale & Calderdale Council
Contact Detailsby email to: [email protected]
or by post to: Upbeat Scheme Activity and Community Development Huddersfield Road, Halifax, HX3 0AQ
or visit our web site at: www.calderdale.gov.uk/sport
November 2012. Information was correct at the time of printing.
Referral Form
Upbeat AdultsPlease Note - If you have a heart condition or have been diagnosed with High Blood Pressure or Diabetes in the last 3 months you must be referred by a health professional. Otherwise simply fill in the form below and send it to us by post or email. Once we have received your referral, we will contact you to book onto a course.
Please send marked Private and Confidential to: Upbeat, Spring Hall Mansion, Huddersfield Road, Halifax, HX3 0AQ. Tel: 01422 284411 Email: [email protected] Website www.calderdale.gov.uk/sport
Name
Date of Birth Male Female
Address
Postcode
Contact number Mobile
Email address
GP Surgery
GP Name
Please tick all medical conditions which apply:
Overweight (BMI 30+) Angina
Diabetes Stroke / TIA
High Blood Pressure Heart disease / CVD
Signed Date
Upbeat Families Referral Form over leaf !UpBeat Families
If you would like this information in another format or language, please contact: 01422 284411
Referral Form
Upbeat Families
Please send marked Private and Confidential to: Upbeat, Spring Hall Mansion, Huddersfield Road, Halifax, HX3 0AQ. Tel: 01422 284411 Email: [email protected] Website www.calderdale.gov.uk/sport
Name of Child
Date of Birth Male Female
Name of Parent
Address
Postcode
Contact number
Mobile
Email address
GP Surgery
GP Name
Signed Date
Upbeat Adults Referral Form over leaf!
Upbeat FamiliesFun physical activities and healthy lifestyles for overweight children and their families.
Ten-week clubs run in schools at 4pm on weekdays and in Leisure Centres on Saturdays.
Any children/young people who are overweight or have issues regarding their weight may attend. All family members are welcome! As the scheme runs as a whole family approach, at least one adult must attend with the child.
Visit our website for information on how to join, or simply fill out the form right and we’ll contact you.
Upbeat MumsSafe and specific exercise and healthy weight for pregnant and post-natal women.
We offer a friendly, supportive environment and work together with midwives to offer safe and effective exercise and healthy eating programmes that are specifically designed for pregnant and post-natal women.
How to Join - Ask your Midwife or Health Visitor to refer you.
How much does it cost?All Upbeat schemes are free of charge for the first ten weeks. This includes Free Gym, Swimming and Fitness classes at Calderdale Council’s Leisure Facilities. After ten weeks, these activities are available at a reduced cost for 2 years.
What is Upbeat?Upbeat is a referral scheme that offers physical activities and healthy weight courses that are specifically designed for certain groups of people.
We Aim To:> Encourage and promote long-term participation in regular physical
activity by introducing people to physical activity and exercise through a structured programme that is safe and suitable for their needs.
> Improve overall physical and emotional well-being of people who would not normally take part in physical activity.
> Encourage people to eat healthier and help people to lose weight healthily.
Upbeat AdultsSafe and specific exercise and healthy weight loss for Adults.
Ten-week courses run in Leisure Centres and Community Halls across Calderdale. You can view the timetable on our website.
After ten weeks you automatically qualify for the Next Steps Scheme in which you can enjoy Gentle Exercise, Tai Chi, Fitness Circuits, Aerobics, Zumba, Aquafit, Spinning, Boxercise, Walking Club, Social Events and much more!
Certain Eligibility Criteria apply. To qualify you must have any of the following:> Overweight with a BMI (Body Mass Index) over 30. > Diabetes> Angina> High Blood Pressure> Coronary Heart Disease (CHD)> Cardiovascular Disease. (CVD)> Had a Stroke / TIA
Visit our website for information on how to join, or simply fill out the form overleaf and we’ll contact you.
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