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Use this form for referrals into the Wellness Works programme.
Please use this form to refer yourself or someone else to the Wellness Works programme. We support people with health-related barriers to work through our Keyworker Programme and by connecting residents to their local Health Hub for community-based activities and support.
If you are making this referral on behalf of someone else please ensure you have obtained their consent first. Please give us your details as well as theirs, when asked.
This activity is managed by TSL Kirklees and is part of Healthy Working Life, a joint programme of the West Yorkshire Combined Authority and NHS West Yorkshire Integrated Care Board.
Referrals to the Wellness Works programme are now closed as the programme is coming to an end.
We understand that many people may still be looking for support with their wellbeing, mental health, or employment. If you need support, the following services may be able to help:
We are unable to accept referrals without consent from the individual
Please complete the form below. If you don't have your NHS Number and National Insurance Number you can still submit the referral but we do need this information so please have both ready when we contact you about your referral.
Please complete the form below. If you don't have the NHS Number or National Insurance Number you can still submit the referral but we do need this information and will gather it from the individual when we contact them.
By submitting this form you confirm that you have read, understood and accept the Wellness Works Privacy Policy which outlines how we will gather, store and share your data.