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Health Promotion Service Cornwall and Isles of Scilly


Cornwall Healthy Weight offer

The Cornwall Healthy Weight professional zone provides information, downloadable material and links to further information for medical professionals.

You can access information about current guidlines and resources, and find out more about referrals for programmes we run.

Download the Healthy Weight brochure

For more information about the Healthy Weight offer, please contact us on 01209 313419.

Online Referral Form

Please complete all mandatory fields marked *

Referring Professional's Details

Name *
Job Title *
Organisation *
Email Address *
Telephone Number *
Address *

I would like to refer the following patient to Cornwall Healthy Weight

Please tick relevant programmes 

Patient details

Full name *
Parent / guardian (if applicable) 
Address *
Postcode *
Date of Birth 
Contact Telephone *
Email address 
Please include all medical conditions / complications. Please note we are unable to work with clients with unstable conditions - refer to brochure for inclusion / exclusion criteria. 
Any additional information - e.g learning / physical disabilities, visual impairment, hearing, access 
Is this referral as a result of a health check? *

Client consent

As a health record this form will be retained in line with the NHS Retention and Destruction Schedule. By submitting this form you consent to us holding this information. *