COTA NT advocating for and working towards an age-friendly, just, inclusive and equitable society for all Territorians over 50
If you wish to join the Strength for Life program in Darwin, you can download the forms that you will require below. The enrolment form and pre activity questionnaire are compulsory; if you answer yes to any questions on the Pre Activity Questionnaire, also download the medical referral form.
To Enrol in a Strength for life program you will require:
If you answer yes to any questions on the pre-activity questionnaire, you will also need the medical referral form to be completed by your Doctor.
If you have had recent treatment with a physiotherapist for a musculoskeletal issue, you can take the allied health form to the physio for completion before you attend your assessment.
When all of your forms are completed contact COTA NT, please send them to the local Strength for Life program co-ordinator and contact them for an assessment date and time. You will need to take all your forms with you to your initial assessment.
Click the links below to download forms:
Tier 1 Forms
Tier 2 Forms
Health Fund forms
Participant Survey
This program is part of a parent STRENGTH FOR LIFE scheme operated by COTA SA.