Apply to join the course

Next course:​
  • 10th January 2023 
    (6-7pm on Zoom)

Please complete the below form to apply to join the WholeLife course. If you are contacting us outside of area and are keen to get support there are private options available here. If you are just looking to get in touch with us then please see the contact information at the bottom of this page.

WholeLife Application form
Where do you live?

I consent to participate in the WholeLife programme, run by the Coastal Primary Care Network. I understand that my participation in this programme is voluntary and that I am free to withdraw at any time, without giving any reason, and without my medical care or legal rights being affected. I understand that as part of this lifestyle intervention I will need to undertake baseline and post-programme blood tests/measurements to evaluate my changes on the course.

 

I understand and give consent for the Wholelife project to access my GP medical record and that my GP will be informed of my participation in the programme. I understand and give consent for data, including relevant medical and health information, gathered before and during the WholeLife Project and as part of the post-programme evaluation to be shared with individuals outside of The Coastal Network PCN. Any data shared with individuals outside of The Coastal Network shall be anonymised.

Consent Agreement: