Move more with MS

Our Physical Activity Specialist can offer long term support on getting active and making lifestyle changes.

After submitting this form our specialist will contact the individual to ask some questions about what support is needed.

This service is available for people who live in the UK.

Refer an individual to Move More with MS.

About the individual

First name

Last name

Email

Telephone

Please confirm you have the individual’s permission to share their contact data with the understanding that we will be in touch.

The MS Society will use the details provided to contact you with further information about the Move More with MS Service. You understand you can change the way they contact you or remove yourself from this service at any time by emailing [email protected] or by calling 0808 800 8000. To find out more about how the MS Society use and manage your personal data and your rights, read their full Privacy Notice at www.mssociety.org.uk/privacy.

Referred by:

First name

Last name

Email

Occupation

We will only use your data to get in touch if the individual’s contact details are incorrect. To find out more about how the MS Society use and manage your personal data and your rights, you can see our full Privacy Notice.