Parental consent Date given: Child/Young Person Date given: consent Consent must be sought. If consent is not provided, please contact the Healthy Choices Team for advice. Healthy Choices Use Referral received by: Date: On completion, please send this form via Email GCSx Email Please include the location of referral in the email title for example: HLS Referral Ryedale – Post to the relevant Healthy Lifestyle Advisor for your geographic area – Service Manager Phillippa Sellstrom Insite 01609 532695 159-160 High Street Northallerton DL7 8JZ Hambleton Joanne Weaver Insite 01609 798073 159-160 High Street &Richmond Northallerton Rachel Owen Butler DL7 8JZ 01609 798182 Harrogate & Helen Genge Oak Beck House Craven 01609 797841 Woodfield Road Harrogate Nicole Waddington HG1 4HZ 01609 798200 Selby Bryony Smith Sherburn-in-Elmet Library 01609 536418 Finkle Hill Sherburn-in-Elmet Donna Barber LS25 6EA 01609 536799 Scarborough, Josh Greaves Briercliffe Children Centre Whitby & Ryedale 01609 797620 Scarborough YO12 6NS Katey Burnett 01609 797628
Parental consent Date given: Child/Young Person consent Date given: Consent must be sought. If consent is not provided, please contact the Healthy Choices Team for advice. Healthy Choices Use Referral received by: Date: On completion, please send this form via Email GCSx Email Please include the location of referral in the email title for example: HLS Referral – Ryedale Post – to the relevant Healthy Lifestyle Advisor for your geographic area Service Manager Phillippa Sellstrom 01609 532695 Insite 159-160 High Street Northallerton DL7 8JZ Hambleton &Richmond Joanne Weaver 01609 798073 Rachel Owen Butler 01609 798182 Insite 159-160 High Street Northallerton DL7 8JZ Harrogate & Craven Helen Genge 01609 797841 Nicole Waddington 01609 798200 Oak Beck House Woodfield Road Harrogate HG1 4HZ Selby Bryony Smith 01609 536418 Donna Barber 01609 536799 Sherburn-in-Elmet Library Finkle Hill Sherburn-in-Elmet LS25 6EA Scarborough, Whitby & Ryedale Josh Greaves 01609 797620 Katey Burnett 01609 797628 Briercliffe Children Centre Scarborough YO12 6NS