NERS referrals submission form

Newport Live and ABHB Exercise Referral Scheme This online submission form is for the sole use of Aneurin Bevan Health Board Exercise Referral Professionals who are referring new clients to the NERS Programme at Newport Live. If you feel you would benefit from such a referral, please speak to your health provider about the National Exercise Referral Scheme. If you are looking for a happier and healthier lifestyle outside of the NERS scheme, we can help you find your fit.
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Please let us know your name.
Please let us know your name.
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Please let us know your email address.
Please let us know your email address.
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We take your data security seriously and will never sell or swap your details with third parties, except where required to do so by law or with your consent. Information about how we protect and use your personal data is set out in our privacy policy at newportlive.co.uk/privacy
We take your data security seriously and will never sell or swap your details with third parties, except where required to do so by law or with your consent. Information about how we protect and use your personal data is set out in our privacy policy at newportlive.co.uk/privacy
The data that you supply within this form is processed by Newport Live to produce a NERS Membership. The personal data is then passed to the NERS programme staff who deliver the intervention.
The NERS Programme Staff will input the personal data onto a national NERS database. This database is currently maintained by Webucate2000 Ltd and the database is hosted by Data Cymru.
Webucate’s Privacy Policy can be found here: http://www.webucate2000.co.uk/webucatte_privacy_policy.pdf
Data Cymru Privacy Policy can be found here: http://www.data.cymru/eng/privacy-policy
The data you supply may be used to evaluate the programme and support service improvements.