This referral form is for community wellness programmes delivered by Core Impact Wellness CIC.
Refer a Client for Wellness Support
Refer someone who would benefit from structured, supportive physical activity.
Ideal Clients
Long-term health conditions
Recovery after illness
Frailty and fall risk
Social isolation or inactivity
Mental health needs
Who It’s For:
We accept referrals for:
Older adults
Long-term condition clients
Post-rehab clients
Older adults
Isolated individuals
Accepted Referrers
GPs
Social Prescribers
Care Workers
Housing Officers
Link Workers
Therapists
How It Works
Submit form
We contact and assess the client
We deliver support and report back
Referral Form:
Questions? Email cic@coreimpactuk.com
Safeguarding & Privacy:
All data is secure. Our team is trained, insured, and DBS-checked.
