2. How the Lucrin Man Plan supports you
This program has been designed in collaboration with leading
health professionals. It helps provides a range of information,
support and exercise options to help you actively manage your
lifestyle whilst on therapy with Lucrin.
Lucrin Man Plan magazine
Quarterly issues of our magazine with the latest information on managing
your health and wellbeing, covering diet, exercise, relationship issues,
sexual matters, stress management and advice for partners and carers.
Advice and support when you need it
A dedicated support line for counselling on relationship issues, sexual
matters, diet, exercise and general lifestyle advice. Plus online access
to useful resources at www.lucrinmanplan.com.au.
Exercise programs
Exercise has been clinically proven to reduce and even reverse some of
the side effects (e.g. gynaeomastia and weight gain). Resistance-based
exercise (e.g. walking up stairs or lifting weights) builds strength and
helps to maintain your bone density.
There are two exercise programs you can to add to your plan – you can
choose to add one or both, or enrol in the Lucrin Man Plan with no exercise.
1. A 10 week ‘face to face exercise program’ with an exercise physiologist.
2. A complete ‘exercise at home’ program.
Any questions?
Call 1800 626 752
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Start your own Plan
When you enrol in the Lucrin Man Plan, you’ll receive regular
magazines and information, access to online resources, and to
our dedicated phone support line. Complete the enrolment form
(right) or enrol online at lucrinmanplan.com.au.
Option 1 Enrol in the Lucrin Man Plan – NO exercise
This option gives you all the benefits of the Lucrin Man Plan but with no
exercise. You can switch to option 2 later if you change your mind.
Option 2 Enrol in the Lucrin Man Plan – WITH exercise*
This option gives you all the benefits of the Lucrin Man Plan with exercise.
You can choose to add one, or both of these exercise programs:
program 1 – $5.00 face to face exercise sessions
A 10 week face to face program with an exercise physiologist at a local
participating gym for just $5 a session. Sessions are tailored for your age
and abilities. Your progress is carefully monitored, including full health
assessments at the beginning and end of the program (sent to your doctor).
program 2 – exercise at home
A structured exercise program to help you maintain your fitness in the
comfort of your own home. You’ll receive an exercise manual, diary and
DVD, plus phone support from a qualified health professional to keep
you motivated and your exercise on track.
*You will need the consent of your doctor or specialist to take part. If you can’t
organise consent now, enrol in Option 1 and add the exercise later.
Enrolment Form
1. Confirm that you use Lucrin
1 I am a patient currently prescribed Lucrin®.
2. Choose an enrolment option
1 Option 1 Lucrin Man Plan – NO exercise
1 Option 2 Lucrin Man Plan – WITH exercise
1 Program 1 – Face to face exercise sessions
1 Program 2 – Exercise at home
3. Provide your details and sign
First name
Last name
Date of birth
/ /
DAY MONTH YEAR
Address
State Postcode
Phone (daytime)
( )
Phone (evening)
( )
Mobile
Email
1 I have read and I accept the Terms and
Conditions, Privacy Statement and Patient
Disclaimer on the back of this flyer.
Your signature
Date
/ /
4. Doctor/specialist’s details
First name
Last name
Provider number
Clinic address
State Postcode
5. Doctor/specialist’s consent
1 I confirm I have examined (patient name √)
and certify that, in my opinion, he is fit to participate
in the Lucrin Man Plan exercise programs.
6. Doctor/specialist’s signature
Signature
Date
/ /
Post this form to
The Lucrin Man Plan
Reply Paid 751
North Sydney NSW 2059
What happens next?
We will call you and send
you a welcome kit (contains
bla, bla, bla, bla, bla, bla, bla)
within 10 working days of us
receiving your enrolment.
You must be a patient currently prescribed Lucrin.
You must have the consent of your doctor or
specialist to take part in the exercise programs.
DETACHFORMALONGPERFORATION