Resources

Whether you’re a health professional or looking to join our classes, 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 a medical referral.

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.

GP Referral Form – ask your GP to complete this form if you finished Phase 3 more than 6 months ago or haven’t taken part in a hospital-based cardiac rehab programme.

Medical Consent Form (accompanying person)– we welcome partners, friends or relatives along to our classes. But if they want to join in, they’ll need to ask their GP to complete this form

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

Health professionals

GP Referral Form

Medical Consent Form (accompanying person)

  • 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.