Fit Robins and WorkWell
“Our Fit Robins spaces are funded by the Workwell project and will be offered for people who are either struggling in work or wanting support to return to the workplace because of a health condition. This can be physical or mental health. Please fill out the following information to register yourself with the Workwell West programme. You will then be contacted by the Workwell team to complete an introductory call and to confirm your place on the Fit Robins programme.“
First Name
*
Last Name
*
Email
example@example.com
Mobile
Fit Robins?
Post Code
*
Type
Assigned To
Who brought in referral
Please Select
Graham Road Surgery
Horizon Health Centre
Stafford Medical Group
Mairead
The Cedars Surgery
The Milton Surgery
Tudor Lodge Surgery
Bristol Community Learning
Winscombe Surgery
Pheonix PCN
EmailBlaster
BristolCityCouncil
The Stable (Weston)
The Birch Collective
Bristol City Robins
Windmill Hill City Farm
Creative Shift
Clean Slate
Changes Bristol
Southern Brooks
Soundwell Music Therapy
Bristol Somali Resource Centre
Your Park
Active Being Ltd
Bristol Mind
Missing Link
Citizens Advice North Somerset
One Planet Matters
Wellington Road
City of Bristol College
Weston College
Morag M
Maria C
Facebook advert
North Somerset CL
Arnolfini
Comedy on referral
Ilona M
Fit Robins
What is the best way and time to contact you?
Referral Route
*
Please Select
Referred from GP or Primary Care setting (including social prescribing)
Local Authority (for example, social workers)
Voluntary or Community Sector
Local Health Services
Local Employer
Jobcentre Plus
Self-Referral
Self-Referral - heard radio advert
Other
“Please indicate which location you are interested in attending for the Fit Robins course: Knowle West/Hartcliffe”
Please Select
Fit Robins referral - Knowle West
Fit Robins referral - Hartcliffe
I consent to the Bristol City Council collecting and storing the data provided from this form.
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