WorkWell Self referral

Welcome to the WorkWell Service

The aim of WorkWell is to support people with a disability or a health condition to start, stay or succeed in work. Work and Health Coaches can support with a range of support including access to local community based support, personalised support plans, support with employers, support to Access to Work funding and much more.

To be eligible you must meet the below criteria:

Employed and either absent through sickness or facing health related barriers at work OR recently out-of-work and need health-related support to return to work.
Your home address OR address of your GP/local Jobcentre Plus is in Stockport. This means that we will check that this address is within Stockport.
You are over 16.
You have the right to work in the UK.

"*" indicates required fields

Name*

First Last

Date of Birth*

GP Practice

NHS Number (if known)

National Insurance Number (if known)

Home Address*

Address Line 1 Address Line 2 Postcode

Phone Number*

Email

What would you like help with?*

In work and struggling due to a health related barrier

In work and off sick due to health related barriers

Struggling to find work due to health related barriers

Not looking for work due to health related barriers

Other

Do you have the right to work in the UK?*

Yes

No

How did you hear about us?

Is there any additional information you'd like us to know at this point?

I confirm I am aware and give consent to the Work and Health Coaches having access to my medical records and sharing WorkWell records with my GP Practice*

Yes

Comments

This field is for validation purposes and should be left unchanged.