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Strength and Balance Referral Form

  • The Engine Health & Fitness opens at Exeter Science Park on 20 December – FIND OUT MORE
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Inclusive and Exclusive Criteria

The following must apply:

  • Recently had a fall or
  • Feel unsteady, frightened or worried about falling or balance.

In addition, none of the following can apply:

  • Have an unstable condition or acute medical illness
  • Cannot walk independently
  • Unable, even with support, to follow instructions
  • Please sign below to confirm that you meet the inclusion and exclusion criteria as set up above and you have read and understood the Health Committment Statement below.

    By signing below you are confirming that you would like to take part in the Strength & Balance Program.

HCS Confirmation*
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