Colne Valley Low Carb Programme

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Personal details

 

Contact details

 

Medical information

 

Measurements

 

 

 

All options include a follow up after 12 weeks and additional and ongoing peer support via our Low Carb Facebook Group.

 

 

  

If you have any general queries about the low carb programme, or any problems submitting this form, please email This email address is being protected from spambots. You need JavaScript enabled to view it.

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Terms and conditions

On submitting this form, your information will be sent to the Colne Valley PCN Health and Wellbeing team who will contact you in order to discuss your needs and register you on the programme. Certain information may also be shared with your GP practice once you are registered.

By submitting this form on behalf of someone else, you confirm that you have informed and/ or sought the permission of the person who you are referring.

Medical Disclaimer

The Freshwell Low Carb Programme was established to provide information and support to people choosing to follow a low carb approach and is not a substitute for individual medical advice. The programme is not intended for people under 18 years, pregnant or breast-feeding women, people with eating disorders or any health condition that requires a special diet.