Our self-referral form is designed to help you easily access the support you need. Whether you're looking for guidance or have specific questions, this form is your first step towards a healthier, more active lifestyle.
What kind of support do you need?
Select all that apply — you can choose more than one.
Your measurements
Your contact details
Registered with a Solihull GP? *
Are you a carer? *
Do you have a learning disability? *
Fields marked * are required.
Referral received!
Thank you for completing the self-referral form. A member of our team will be in touch with you shortly to discuss the next steps on your journey to a healthier lifestyle.
Need to speak to someone urgently? Call 0121 517 5555.
Thank you for getting in touch.
Based on the information you've provided, you don't currently meet the eligibility criteria to join the Gro Health programme. However, there is still plenty of support available to you.
Our Healthy Active Lives website offers free healthy living advice covering diet, physical activity, and lifestyle - visit healthyactivelives.co.uk/healthy-living-advice to explore the resources available to you.
You can also browse our local activities directory to find fitness and health activities near you in Solihull.