The Service

Eating a healthy, balanced diet provides nutrients to your body. These nutrients give you energy and keep your heart beating, your brain active, and your muscles working.

Self Referral Form

Sessions are run over 12 consecutive weeks, and each session is split into 2 parts:

  1. Lifestyle management and healthy eating (45 mins)
  2. Exercise with a qualified exercise instructor (45 mins)

For each session you will need to:

  • bring a bottle of water
  • wear light and comfortable clothing and trainers or similar shoes
  • wear reading glasses, if required

The Eat 4 Health weight management service is only available to people aged over 16 with a BMI ≥ 25kg.m² living or registered with a GP surgery in West Berkshire, Wokingham and Slough. If you have any queries please click here to contact the E4H team.


Forename(s) *

Surname *

Date of Birth *
- -

GP Surgery

GP Name




Phone *



Preferred Language

To assess your suitability for the programme please provide us with the following information:

Weight (stones & pounds) or (kilograms)

Height (feet & inches) or (metres)

Please indicate your preferred location(s)

Do you smoke?

If you are interested in quitting smoking, would you like the local NHS Stop Smoking Service to contact you?

Answer Yes or No to the following questions:

Has your doctor ever said that you have a bone or joint problems?

Has your Doctor ever said you have or have had a heart problem?

Have you ever been diagnosed with epilepsy?

Have you ever been diagnosed with high blood pressure?

Have you ever been diagnosed with diabetes?

Do you suffer from Asthma?

Have you ever been diagnosed with a dietary illness?

Have you ever felt pain in your chest at rest or when you do physical exercise?

Are you currently taking any medication?

In the past year have you had any major illness or surgery?

Do you ever lose your balance because of dizziness or lose consciousness?

Are you pregnant?

Do you know of any other reason why you should not participate in a physical activity programme?

Solutions4health would encourage you to provide your consent in order that we can process data and information about you. We will share this data where necessary with other health professionals such as your GP or specialist services. The information we collect and process will be used to help us meet the contractual obligations as set down by the local health service commissioners in accordance with the service we are providing. You can request to view, amend or delete your data at any time by contacting us at (