Active NoW - Online Referral Form

Broadly Active

A range of exercise referral classes offered in Leisure, Community and online venues across the two districts.

Everyone Active - North Norfolk

Exercise referral classes at one of Sheringham, Fakenham or North Walsham Leisure Centres.

Everyone Active – Waveney

Exercise referral classes at one of Water Lane or Waveney Valley Leisure Centres.

Lex Leisure – Breckland

Exercise referral classes at one of Dereham or Thetford Leisure centres.

Alive – West Norfolk

Exercise referral instruction at Lynnsport in King's Lynn.

Freedom Leisure - Great Yarmouth

Exercise referral instruction at the Marina Leisure Centres.

Norwich – Riverside Leisure Centre

Offering exercise referral classes at Riverside Leisure Centre.

Norwich – Sportspark UEA

Offering exercise referral classes at Sportspark UEA.

Community Provision

A range of exercise referral and physical activity provision at community gyms and centres throughout Norfolk and Waveney.

Age UK

Access to a variety of Age UK Norwich's physical activity provision across Norfolk.

Who is making this referral request?

Exercise referral – to be eligible to make an exercise referral through Active NoW, you must have access to the patient’s clinical record.
Falls referral – to be eligible to make a falls prevention referral, you must either have access to the patient’s clinical record, or be a professional supporting the patient in a non-clinical capacity (e.g. social prescriber, handyperson service, housing officer).
For more information on the Active NoW service, including eligibility and referral criteria, please see the following link to the ICS website for Active NoW.
Severe Mental Illness (SMI) – to be eligible to make an SMI referral through Active NoW, you must have access to the patient's clinical record and be referring them at point of SMI health check under primary care services only.