Health & Wellbeing Self-Referral Form

Are you a Healthcare Professional making a referral?

If you are a healthcare professional looking to refer a patient to the Aylesbury Central PCN Health & Wellbeing service, please click 'Refer a Patient'.

Refer a patient

Please complete the form below if you are a patient looking to self-refer...

Retrieve your NHS number here: https://www.nhs.uk/nhs-services/online-services/find-nhs-number/

When is the best time for one of our health & wellbeing coaches to call you?

(Please select all that apply)

*Please note, a referral for health coaching is for up to 5 sessions

Sorry! Requests are currently closed due to staff shortages

Please leave your name and e-mail address to be notified when submissions are open again

By submitting your name and email address you agree to Aylesbury Central PCN to contact you regarding Health & Wellbeing coaching.

Healthier Lifestyle, Happier You!

An empowering and fun programme that explores the most effective methods to lose weight and keep it off. On the course you will address concerns that you have with your lifestyle, such as with your diet and physical activity levels.

We passionately believe in quality education and in long-term sustainable behaviour change and not short-term diet or lifestyle fads. We look at health holistically, offering choices with flexible options. This approach delivers multiple benefits well beyond weight loss including improving sleep quality, stress management, relationship with food and preventing future health conditions.

Features of the programme

  • Lifestyle & wellbeing education programme covering weight loss, managing stress, sleep quality, preventing future health conditions
  • Flexible dietary approaches: Low carbohydrate, Mediterranean, Intermittent fasting, Real food and snacking avoidance
  • 12 x Online Group Sessions
  • Includes a printed Weight & Wellbeing Programme Handbook
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