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 South East Shropshire, South West Shropshire or Shrewsbury Primary Care Networks (The Beeches, Belvidere, Claremont Bank, Marden, Marysville, Mytton Oak, Prescott, Radbrook Green, Riverside, Severnfields, South Hermitage, Albrighton, Alveley, Bridgnorth, Broseley, Brown Clee, Cleobury Mortimer, Highley, Ironbridge, Much Wenlock & Cressage, Station Drive, Bishops Castle, Church Stretton, Craven Arms, Portcullis, The Meadows Clun)
  • 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)

If you're registered with a GP Practice that is not on the list above and require support please visit our social prescribing page.

You can also call 0345 678 9028 Monday to Friday (9am to 3pm) and select the self-referral to social prescribing option, alternatively you can email healthylives@shropshire.gov.uk with the subject "Social prescribing self-referral".