Fitter Norfolk Claire Gurney Pilates Health & Fitness
Fitter NorfolkClaire Gurney Pilates Health & Fitness

Forms for download

Guidance for Medical Professionals
Please refer to this form if you are a medical professional looking to refer a patient to the Heartworks exercise referral/phase 4 cardiac rehabilitation scheme.
Guidance for Med professionals.pdf
Adobe Acrobat document [145.4 KB]
BACPR Transfer Form
Please download this form if you have a medical condition related to your heart or circulation, and would like to attend Heartworks exercise classes. This form needs to be completed by a medical professional (e.g. GP) and taken to an exercise class, after contacting the instructor.
BACPR Transfer Form April 2014.pdf
Adobe Acrobat document [306.1 KB]
Exercise Referral Form
Please download if you have a medical condition (which is not related to your heart or circulation) and would like to attend Heartworks exercise classes. This form needs to be completed by a medical professional (e.g GP) and taken to a class, after contacting the instructor.
Exercise Referral From.pdf
Adobe Acrobat document [59.0 KB]
Health Questionnaire PAR-Q
Download and complete if you are a healthy adult wishing to attend Heartworks exercise classes for general health and fitness.
Health Questionnaire PAR-Q.pdf
Adobe Acrobat document [86.8 KB]
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© Copyright Claire Gurney 2015

Claire Gurney Pilates, Health and Fitness

Cardiac Rehabilitation & Pilates Instruction

Norwich & Accross Norfolk

Telephone

07776 044304

01603 946893

 

Email

info@fitternorfolk.co.uk

 

Facebook

www.facebook.com/cgfitnessandtherapy/ 

What my clients say

"Good workouts and great advice"

"I like the intimacy of Claire's small group classes, it's nice to be able to ask quesitons"

"I love Claire's exercise classes! I always leave feeling tired but happy"