Call us on 0121 456 7820

To make a referral to the Solihull Integrated Lifestyle Service, please complete the form below.

Client details will be emailed to Gateway Family Services via secure NHS email, and the person you have referred will be contacted directly. For more information, call 0800 599 9880 and ask about the Solihull Integrated Lifestyle Service.

Click here to download a blank PDF version of this referral form.

Solihull Lifestyle Service Referral Form


The Solihull Integrated Lifestyle Service is delivered by Gateway Family Services and its primary partners. We can support a wide range of lifestyle changes, including stopping smoking, losing weight, doing more activity and eating more healthily. To be eligible, you should live in Solihull or have a Solihull GP.


For more information, or to refer over the phone, call Gateway on 0800 599 9880.

ideally in cm
ideally in kg
Eg: reasons for referral, relevant medical history, other risk factors to support BMI 25+ referral
If you are referring yourself, put your own name here
Eg name of GP surgery or other agency. If you are referring yourself, leave this blank
We will contact this number if we have further questions about the referral
We need this for our records, but we will only use it if we need to contact you for more information.
If you would like to receive a copy of the client details you have submitted, enter the email address to which you would like them sent. (Please note, we cannot guarantee the copy will be received by your email server.)