Name: Green17 Creative
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Title

First Name

Last Name

Date of Birth

Contact Email Address

Contact Number

Health Condition

Tell us more about your condition

e.g. I have been discharged after a heart attack and not sure if I should exercise

Find Address

Enter postcode then select address

Address 1

Address 2

Town/City

County

Country

Postcode

Healthcare Professionals Only

Healthcare Professional's Title

Healthcare Professional's Name

Healthcare Professional's Email Address

Healthcare Professional's Phone Number

Healthcare Professional's Position:

Let's keep in touch

We would love to keep you up to date with news, events and updates about our work and the difference we are making to people living with chest, heart and stroke conditions in Northern Ireland.

Please tick any of the boxes below to let us know how we can contact you.

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