Social prescribing self-referral form for adults

The healthy lives advisor will work together with you to develop a personalised action plan to improve your health and wellbeing. Follow-up support will be provided according to need and progress monitored.

Eligibility

To be eligible you must:

  • Be 18 years old or over
  • Live in, or be registered at a GP Practice in Shropshire
  • Require additional support provided by social prescribing, in order to help and motivate you to take action to improve you health and wellbeing
  • Be able to communicate and engage with a Healthy Lives Advisor and the activities on offer.
  • I confirm I am completing this form for myself as a self-referral (for referring Organisations please contact healthylives@shropshire.gov.uk)

Registered GP Practice is covered under the Healthy Lives Team Offer for Social Prescribing  - The Healthy Lives Team no longer cover the Shropshire Rural Alliance GP practices for Social Prescribing. The GP Practices not covered by Healthy Lives are Pontesbury & Worthen, Clive, Knockin, Westbury and Shawbury. Please contact the GP practice for information on their social prescribing offer. All other Shropshire GP Practices are eligible for referral.