Resources

Whether you’re looking to join our classes or a health professional planning on referring a patient, you’ll find all the key forms here. Just download and print off the ones you need.

Looking to join?

If you’d like to join our classes, you’ll need to complete one of the following referral forms.

Phase 4 Referral Request Form – use this form if you are nearing the end of your Phase 3 hospital-based cardiac rehab programme, or if you’ve completed it within the past 6 months.

Self-Referral Form – please complete and submit this online form if you finished Phase 3 cardiac rehab more than 6 months ago, or if you’re a partner, friend or relative of someone with a heart condition and wish to join them at our classes. You can also print out a copy if you prefer to fill in the form by hand.

GP Practice Referral Form – print a copy of this form for your GP or other health professional to complete if you want the added confidence of a medical referral.

How our classes compare

Our handy chart explains how our classes compare with your other exercise options.

Become a member and save!

Membership Application Form – become a member for just £10 a year and save £1/class.

Health professionals

To refer a patient to one of our classes, simply ask them to complete our online Self Referral Form. You can also print out a copy for them to complete by hand if they don’t have access to a computer.

Alternatively, you may prefer to complete our GP Practice Referral Form.

This handy chart explains how our classes compare with your patient’s other exercise options.

  • We are a registered charity (no. 1056887), set up in 1990 to provide community-based cardiac rehab exercise classes at venues across North Monmouthshire and Blaenau Gwent.
  • Our classes are tailored specifically for people who have either had a heart event and completed their Phase 3 hospital-based cardiac rehab programme, or who are living with heart and cardiovascular disorders, including heart failure.
  • Our Cardiac Rehabilitation Exercise Instructors are all qualified through the British Association for Cardiovascular Prevention and Rehabilitation (BACPR), the gold-standard for instructors.
  • We aim to make safe, regular exercise easy and affordable for our members and subsidise our classes through fundraising, donations and grants. We currently charge £5 per class for members (annual membership fee: £10), or £6 for non-members.
  • We offer a weekly timetable of classes at venues across North Monmouthshire and Blaenau Gwent, including Abergavenny, Usk, Monmouth, Tredegar, Ebbw Vale, Nantyglo, Blaenavon and Abertillery.
  • Our founder and chairperson is Jacky Miles MBE PhD, a former cardiac nurse with the Aneurin Bevan University Hospital Board. During her time with ABUHB, Jacky developed an award-winning multidisciplinary hospital-based cardiac rehabilitation programme and went on to qualify as a nurse consultant. She is currently Associate Professor with the School of Care Sciences at the University of South Wales.
  • To find out more, email info@cardiac-rehab.org.uk, or call the Charityʼs Secretary, Tony Lowery, on 07856 692148.

Multiple studies show that Cardiac Rehab improves various important patient outcomes, including exercise capacity, control of cardiovascular risk factors, quality of life, hospital readmission rates, and mortality rates. Here are just three of them:

Cardiac Rehab also benefits a broad range of heart patients, including after myocardial infarction (MI), coronary artery bypass surgery, heart valve repair, percutaneous coronary interventions, stable angina, stable chronic heart failure, heart transplantation, cardiac arrhythmias, and severe arterial hypertension.

Help us make a difference

• We’re looking for class members to take on an important and rewarding role as one of our Expert by Experience Volunteers. For more info, download our role description.