Referrals

We are currently taking referrals for the Yoga4Health courses running at Bridgehall Community Centre and Upward Frog CIC. We will start accepting referrals for the courses in Brinnington and Reddish in March.
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To make a self-referral please read the criteria below and then fill in the form at the bottom of the page.

Referral Criteria

This course is designed for people who have been identified as being pre-diabetic or at risk of cardiovascular disease. It also suitable for people with stress, anxiety, mild to moderate depression or experiencing social isolation.

Participants must be able to commit to attending all sessions and should be open to engaging in self-practice.

Yoga4Health Self Referral Form

Please complete all sections. We will review and if accepted onto the course you will receive a more detailed Patient Information Form to complete. We will respond to all referrals.

Your Name

First Name

Last Name

Your Email

Phone

(###)

###

####

Course

Which course do you want to book?

Emergency Contact

First Name

Last Name

Emergency Contact's Phone Number

(###)

###

####

Relevant information about your medical or health conditions

Thank you

We will review the information provided and respond within 5 working days.