SlideShare a Scribd company logo
1 of 2
Download to read offline
THE
LUCRIN
MAN PLAN
A fully flexible, 2-year program to inspire and
support you, and help you to manage any
potential side effects of your Lucrin treatment.
Ask your doctor about starting a plan today!
Take charge of your life.
How others feel about the Plan
The Lucrin Man Plan is about taking positive steps to help you
manage any potential side effects of your treatment – and help
you maintain a healthy, positive outlook on life. Below are three
quotes from men that have taken part in the Lucrin Man Plan.
‘It really changed my outlook on how I was feeling.
It showed me the benefits of what exercise could do.’
‘The main benefits are that by doing the exercises it helps with
the side effects. I hope that as soon as someone gets put on
Lucrin, they get put onto this. The exercise is great!’
‘When any patient sees this (program) it will make him feel
like there is support, and it will make him feel more relaxed…
finding something that supports you is very important.’
Important information
TERMS AND CONDITIONS
1. 		Only persons who are prescribed Lucrin®, are eligible to
access The Lucrin Man Plan program.
2. 		The patient, with guidance from his Specialist, will
determine his own level of participation in The Lucrin
Man Plan program. Guidance will be based on the pa-
tient’s (1) proximity to an Exercise Physiologist, (2)
medical history and (3) current level of fitness.
3. 		If you are participating in the Face to Face program op-
tion, Partizan will arrange for an Exercise Physiologist
to contact you for your initial assessment. Abbott will
provide most of the funding for the Exercise Physiolo-
gist but until such contact with the Exercise Physiolo-
gist occurs, Abbott is not bound to provide funding for
any Exercise Physiology session.
4. 		Participation in the Face to Face program option will
require a $5.00 per session contribution by the patient
(including the initial and final assessments).
5. 		The maximum duration of any program option is
2 years. All program options receive quarterly maga-
zines for 2 years from the date of enrolment. The Face
to Face program option is 10 weeks including initial
and final assessments and group exercise sessions. Both
Face to Face Exercise Sessions and Exercise At Home
program participants will receive outbound phone calls
from a Health Coach for 6 months. You have the option
to request a call from a Health Coach for an additional
6 months after that. You may opt out of phone calls or
mailings at any time during the course of the program
6. 		Abbott reserves the right to withdraw funding from this
program without notice at any time.
PRIVACY STATEMENT
The Lucrin Man Plan program coordinators Partizan
Worldwide Pty Ltd ABN 18 115 985 825 (Partizan) are
collecting personal information relating to you. Before you
submit any information and agree to enrol in The Lucrin
Man Plan program, you should be aware of how it will be
used. We will use your information in order to deliver The
Lucrin Man Plan program. The information collected by
Partizan will be reported back to your Specialist and your
Health Coach/Exercise Physiologist (if necessary). If you
are taking part in the Face to Face program, the Exercise
Physiologist will also be collecting data to monitor your
progress, which will be collated into a report for the
program sponsors, Abbott Australasia Pty Ltd ABN 95
000 180 389 (Abbott). Individual patient details, including
names and addresses, will not be included in this report.
We may also share your information with our affiliates and
subsidiaries, as well as authorised independent third parties
who may assist us in collecting and processing information.
By providing your information, you agree to the above
collection, use and disclosure of your personal information.
If you have any questions related to this Privacy policy,
please contact Abbott on 1800 225 311. If you would like a
copy of our privacy statement, or if you would like to see
your records, please contact Partizan’s Privacy Officer on
(02) 8404 3777. Any self-reported adverse events that arise
from taking this medication will be reported to Abbott,
who is the manufacturer of Lucrin®, who will then pass
this information to the appropriate notification body. You
understand that you may withdraw from the program or any
activity at any time by calling 1800 626 752.
PATIENT DISCLAIMER
1.	 The exercises depicted in The Lucrin Man Plan home-
based Exercise Manual and DVD are provided as
examples for demonstration and information purposes
ONLY. The exercises are not to be considered as any
form of recommendation to you for a specific treatment
plan, product, or course of action.
2.	If you are uncertain about your participation in the
home-based exercise program, you should seek medical
clearance from a medical practitioner before participat-
ing in selected activities.
3.	 If at any point during the exercise program you begin to
feel faint, dizzy, or have any discomfort you should stop
immediately and consult a physician.
4.	The Lucrin Man Plan home-based exercise program is
not a form of medical advice and should not be consid-
ered as such. Neither Abbott nor Partizan are engaged
in providing medical services.
5.	Your participation in the program is at your sole choice
and at your own risk. You assume the risk and responsi-
bility of any injury arising from your participation in the
selected activities, for the duration of The Lucrin Man
Plan program.
6.	 Totheextentpermittedatlaw,youagreetoindemnifythe
Vario Institute (the original designers of the program),
Partizan,Abbott,theExercisePhysiologistandtheprem-
ises in which you undertake the exercise program from,
any and all damages, actions, claims, judgments, costs
of litigation and attorney fees which may result from
your use of, or presence upon, the property or facilities
of the Exercise Physiologist or from your participation
in The Lucrin Man Plan home-based exercise program.
7.	 If you are participating in the Face to Face program, the
Exercise Physiologist providing the training to you will
be contracting with you directly and is not an employee
of, and has no relationship with Abbott or Partizan.
8.	You acknowledge that neither Abbott nor Partizan
nor the Vario Institute, nor the Exercise Physiologist
will make any assessment of your health, ability, ca-
pacity or suitability to perform The Lucrin Man Plan
program. The program is not specifically tailored to
your needs. Where applicable such needs must be as-
sessed by your medical practitioner. To the extent per-
mitted at law, you agree that you will bring no claim,
legal or otherwise against Abbott, Partizan or the
Vario Institute as a result of any death, bodily injury
or loss or damage arising out of your use of The Lu-
crin Man Plan program, or otherwise relating to the
provision of the training by the Exercise Physiologist.
©2011 ABBOTT AUSTRALASIA PTY LTD. 32-34 LORD STREET, BOTANY NSW 2019 AUSTRALIA.
LUCXXXXXXXXXX. ABL1327.
The
Lucrin
Man Plan
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
3
3
3
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

More Related Content

Similar to ManPlan_A5_flyer_FA

Micronized creatine monohydrate
Micronized creatine monohydrateMicronized creatine monohydrate
Micronized creatine monohydrateKatherine Hood
 
Pre operative total-hip_replacement_1213
Pre operative total-hip_replacement_1213Pre operative total-hip_replacement_1213
Pre operative total-hip_replacement_1213hamada tito
 
The selected product for this analysis is the Mayo Clinic .docx
The selected product for this analysis is the Mayo Clinic .docxThe selected product for this analysis is the Mayo Clinic .docx
The selected product for this analysis is the Mayo Clinic .docxarnoldmeredith47041
 
A Charitable Life
A Charitable LifeA Charitable Life
A Charitable LifeIAML2014
 
HWGP_H&W_FlyerCurrent2014
HWGP_H&W_FlyerCurrent2014HWGP_H&W_FlyerCurrent2014
HWGP_H&W_FlyerCurrent2014Susan Tippett
 
Turbulence Training Bodyweight Workout [4 WEEK PROGRAM]
Turbulence Training Bodyweight Workout [4 WEEK PROGRAM]Turbulence Training Bodyweight Workout [4 WEEK PROGRAM]
Turbulence Training Bodyweight Workout [4 WEEK PROGRAM]VAST ONLINE TRAFFIC™
 
A & B Power Point Presentation
A & B Power Point PresentationA & B Power Point Presentation
A & B Power Point PresentationAnneLBrown
 
EOSC Drug Free Workplace Presentation
EOSC Drug Free Workplace PresentationEOSC Drug Free Workplace Presentation
EOSC Drug Free Workplace Presentationwhinky1
 
How to Find the Right Alcohol Rehab Program: 15 Questions to Ask
How to Find the Right Alcohol Rehab Program: 15 Questions to AskHow to Find the Right Alcohol Rehab Program: 15 Questions to Ask
How to Find the Right Alcohol Rehab Program: 15 Questions to AskMalibu Rehab Center
 
Veterans Treatment Court Participant Handbook revised Feb 2015 (1)
Veterans Treatment Court Participant Handbook  revised Feb 2015 (1)Veterans Treatment Court Participant Handbook  revised Feb 2015 (1)
Veterans Treatment Court Participant Handbook revised Feb 2015 (1)Jackson Michael
 
Group Health Insurance
Group Health InsuranceGroup Health Insurance
Group Health InsuranceRahul Agarwal
 
Lessons you can learn from fitness classes
Lessons you can learn from fitness classesLessons you can learn from fitness classes
Lessons you can learn from fitness classesDulcetmelodies
 
Fitness connection pp
Fitness connection ppFitness connection pp
Fitness connection ppBarney373
 
pulmonary-rehab.ppt
pulmonary-rehab.pptpulmonary-rehab.ppt
pulmonary-rehab.pptNavyaPS2
 
Module 2 - SLPPROMOTION MANAGEMENT & SWOT ANALYSISSuccessful.docx
Module 2 - SLPPROMOTION MANAGEMENT & SWOT ANALYSISSuccessful.docxModule 2 - SLPPROMOTION MANAGEMENT & SWOT ANALYSISSuccessful.docx
Module 2 - SLPPROMOTION MANAGEMENT & SWOT ANALYSISSuccessful.docxroushhsiu
 

Similar to ManPlan_A5_flyer_FA (20)

Micronized creatine monohydrate
Micronized creatine monohydrateMicronized creatine monohydrate
Micronized creatine monohydrate
 
Pre operative total-hip_replacement_1213
Pre operative total-hip_replacement_1213Pre operative total-hip_replacement_1213
Pre operative total-hip_replacement_1213
 
The selected product for this analysis is the Mayo Clinic .docx
The selected product for this analysis is the Mayo Clinic .docxThe selected product for this analysis is the Mayo Clinic .docx
The selected product for this analysis is the Mayo Clinic .docx
 
Phormula 1
Phormula 1Phormula 1
Phormula 1
 
A Charitable Life
A Charitable LifeA Charitable Life
A Charitable Life
 
HWGP_H&W_FlyerCurrent2014
HWGP_H&W_FlyerCurrent2014HWGP_H&W_FlyerCurrent2014
HWGP_H&W_FlyerCurrent2014
 
Turbulence Training Bodyweight Workout [4 WEEK PROGRAM]
Turbulence Training Bodyweight Workout [4 WEEK PROGRAM]Turbulence Training Bodyweight Workout [4 WEEK PROGRAM]
Turbulence Training Bodyweight Workout [4 WEEK PROGRAM]
 
A & B Power Point Presentation
A & B Power Point PresentationA & B Power Point Presentation
A & B Power Point Presentation
 
EOSC Drug Free Workplace Presentation
EOSC Drug Free Workplace PresentationEOSC Drug Free Workplace Presentation
EOSC Drug Free Workplace Presentation
 
SugarnMe program
SugarnMe program SugarnMe program
SugarnMe program
 
How to Find the Right Alcohol Rehab Program: 15 Questions to Ask
How to Find the Right Alcohol Rehab Program: 15 Questions to AskHow to Find the Right Alcohol Rehab Program: 15 Questions to Ask
How to Find the Right Alcohol Rehab Program: 15 Questions to Ask
 
Veterans Treatment Court Participant Handbook revised Feb 2015 (1)
Veterans Treatment Court Participant Handbook  revised Feb 2015 (1)Veterans Treatment Court Participant Handbook  revised Feb 2015 (1)
Veterans Treatment Court Participant Handbook revised Feb 2015 (1)
 
Group Health Insurance
Group Health InsuranceGroup Health Insurance
Group Health Insurance
 
Lessons you can learn from fitness classes
Lessons you can learn from fitness classesLessons you can learn from fitness classes
Lessons you can learn from fitness classes
 
Old Mutual: Greenlight
Old Mutual: GreenlightOld Mutual: Greenlight
Old Mutual: Greenlight
 
Fitness connection pp
Fitness connection ppFitness connection pp
Fitness connection pp
 
pulmonary-rehab.ppt
pulmonary-rehab.pptpulmonary-rehab.ppt
pulmonary-rehab.ppt
 
What Is Noom Diet?
What Is Noom Diet?What Is Noom Diet?
What Is Noom Diet?
 
MPHA Presentation
MPHA PresentationMPHA Presentation
MPHA Presentation
 
Module 2 - SLPPROMOTION MANAGEMENT & SWOT ANALYSISSuccessful.docx
Module 2 - SLPPROMOTION MANAGEMENT & SWOT ANALYSISSuccessful.docxModule 2 - SLPPROMOTION MANAGEMENT & SWOT ANALYSISSuccessful.docx
Module 2 - SLPPROMOTION MANAGEMENT & SWOT ANALYSISSuccessful.docx
 

More from greg williams

GAR_Atrium_Brochure_LR
GAR_Atrium_Brochure_LRGAR_Atrium_Brochure_LR
GAR_Atrium_Brochure_LRgreg williams
 
MPR_Riviere_Brochure_LR
MPR_Riviere_Brochure_LRMPR_Riviere_Brochure_LR
MPR_Riviere_Brochure_LRgreg williams
 
GregW medical examples pdf
GregW medical examples pdfGregW medical examples pdf
GregW medical examples pdfgreg williams
 
DearDirt-Treatment-(April) doc
DearDirt-Treatment-(April) docDearDirt-Treatment-(April) doc
DearDirt-Treatment-(April) docgreg williams
 
GAR_Atrium_Brochure_LR
GAR_Atrium_Brochure_LRGAR_Atrium_Brochure_LR
GAR_Atrium_Brochure_LRgreg williams
 
MPR_Riviere_Brochure_LR
MPR_Riviere_Brochure_LRMPR_Riviere_Brochure_LR
MPR_Riviere_Brochure_LRgreg williams
 

More from greg williams (10)

GAR_Atrium_Brochure_LR
GAR_Atrium_Brochure_LRGAR_Atrium_Brochure_LR
GAR_Atrium_Brochure_LR
 
MPR_Riviere_Brochure_LR
MPR_Riviere_Brochure_LRMPR_Riviere_Brochure_LR
MPR_Riviere_Brochure_LR
 
GregW medical examples pdf
GregW medical examples pdfGregW medical examples pdf
GregW medical examples pdf
 
DearDirt-Treatment-(April) doc
DearDirt-Treatment-(April) docDearDirt-Treatment-(April) doc
DearDirt-Treatment-(April) doc
 
GregWIlliamsSwinref
GregWIlliamsSwinrefGregWIlliamsSwinref
GregWIlliamsSwinref
 
GAR_Atrium_Brochure_LR
GAR_Atrium_Brochure_LRGAR_Atrium_Brochure_LR
GAR_Atrium_Brochure_LR
 
MPR_Riviere_Brochure_LR
MPR_Riviere_Brochure_LRMPR_Riviere_Brochure_LR
MPR_Riviere_Brochure_LR
 
nrma_motor_annual3
nrma_motor_annual3nrma_motor_annual3
nrma_motor_annual3
 
10E28_10TipsLeaflet
10E28_10TipsLeaflet10E28_10TipsLeaflet
10E28_10TipsLeaflet
 
dna_info-card_4a
dna_info-card_4adna_info-card_4a
dna_info-card_4a
 

ManPlan_A5_flyer_FA

  • 1. THE LUCRIN MAN PLAN A fully flexible, 2-year program to inspire and support you, and help you to manage any potential side effects of your Lucrin treatment. Ask your doctor about starting a plan today! Take charge of your life. How others feel about the Plan The Lucrin Man Plan is about taking positive steps to help you manage any potential side effects of your treatment – and help you maintain a healthy, positive outlook on life. Below are three quotes from men that have taken part in the Lucrin Man Plan. ‘It really changed my outlook on how I was feeling. It showed me the benefits of what exercise could do.’ ‘The main benefits are that by doing the exercises it helps with the side effects. I hope that as soon as someone gets put on Lucrin, they get put onto this. The exercise is great!’ ‘When any patient sees this (program) it will make him feel like there is support, and it will make him feel more relaxed… finding something that supports you is very important.’ Important information TERMS AND CONDITIONS 1. Only persons who are prescribed Lucrin®, are eligible to access The Lucrin Man Plan program. 2. The patient, with guidance from his Specialist, will determine his own level of participation in The Lucrin Man Plan program. Guidance will be based on the pa- tient’s (1) proximity to an Exercise Physiologist, (2) medical history and (3) current level of fitness. 3. If you are participating in the Face to Face program op- tion, Partizan will arrange for an Exercise Physiologist to contact you for your initial assessment. Abbott will provide most of the funding for the Exercise Physiolo- gist but until such contact with the Exercise Physiolo- gist occurs, Abbott is not bound to provide funding for any Exercise Physiology session. 4. Participation in the Face to Face program option will require a $5.00 per session contribution by the patient (including the initial and final assessments). 5. The maximum duration of any program option is 2 years. All program options receive quarterly maga- zines for 2 years from the date of enrolment. The Face to Face program option is 10 weeks including initial and final assessments and group exercise sessions. Both Face to Face Exercise Sessions and Exercise At Home program participants will receive outbound phone calls from a Health Coach for 6 months. You have the option to request a call from a Health Coach for an additional 6 months after that. You may opt out of phone calls or mailings at any time during the course of the program 6. Abbott reserves the right to withdraw funding from this program without notice at any time. PRIVACY STATEMENT The Lucrin Man Plan program coordinators Partizan Worldwide Pty Ltd ABN 18 115 985 825 (Partizan) are collecting personal information relating to you. Before you submit any information and agree to enrol in The Lucrin Man Plan program, you should be aware of how it will be used. We will use your information in order to deliver The Lucrin Man Plan program. The information collected by Partizan will be reported back to your Specialist and your Health Coach/Exercise Physiologist (if necessary). If you are taking part in the Face to Face program, the Exercise Physiologist will also be collecting data to monitor your progress, which will be collated into a report for the program sponsors, Abbott Australasia Pty Ltd ABN 95 000 180 389 (Abbott). Individual patient details, including names and addresses, will not be included in this report. We may also share your information with our affiliates and subsidiaries, as well as authorised independent third parties who may assist us in collecting and processing information. By providing your information, you agree to the above collection, use and disclosure of your personal information. If you have any questions related to this Privacy policy, please contact Abbott on 1800 225 311. If you would like a copy of our privacy statement, or if you would like to see your records, please contact Partizan’s Privacy Officer on (02) 8404 3777. Any self-reported adverse events that arise from taking this medication will be reported to Abbott, who is the manufacturer of Lucrin®, who will then pass this information to the appropriate notification body. You understand that you may withdraw from the program or any activity at any time by calling 1800 626 752. PATIENT DISCLAIMER 1. The exercises depicted in The Lucrin Man Plan home- based Exercise Manual and DVD are provided as examples for demonstration and information purposes ONLY. The exercises are not to be considered as any form of recommendation to you for a specific treatment plan, product, or course of action. 2. If you are uncertain about your participation in the home-based exercise program, you should seek medical clearance from a medical practitioner before participat- ing in selected activities. 3. If at any point during the exercise program you begin to feel faint, dizzy, or have any discomfort you should stop immediately and consult a physician. 4. The Lucrin Man Plan home-based exercise program is not a form of medical advice and should not be consid- ered as such. Neither Abbott nor Partizan are engaged in providing medical services. 5. Your participation in the program is at your sole choice and at your own risk. You assume the risk and responsi- bility of any injury arising from your participation in the selected activities, for the duration of The Lucrin Man Plan program. 6. Totheextentpermittedatlaw,youagreetoindemnifythe Vario Institute (the original designers of the program), Partizan,Abbott,theExercisePhysiologistandtheprem- ises in which you undertake the exercise program from, any and all damages, actions, claims, judgments, costs of litigation and attorney fees which may result from your use of, or presence upon, the property or facilities of the Exercise Physiologist or from your participation in The Lucrin Man Plan home-based exercise program. 7. If you are participating in the Face to Face program, the Exercise Physiologist providing the training to you will be contracting with you directly and is not an employee of, and has no relationship with Abbott or Partizan. 8. You acknowledge that neither Abbott nor Partizan nor the Vario Institute, nor the Exercise Physiologist will make any assessment of your health, ability, ca- pacity or suitability to perform The Lucrin Man Plan program. The program is not specifically tailored to your needs. Where applicable such needs must be as- sessed by your medical practitioner. To the extent per- mitted at law, you agree that you will bring no claim, legal or otherwise against Abbott, Partizan or the Vario Institute as a result of any death, bodily injury or loss or damage arising out of your use of The Lu- crin Man Plan program, or otherwise relating to the provision of the training by the Exercise Physiologist. ©2011 ABBOTT AUSTRALASIA PTY LTD. 32-34 LORD STREET, BOTANY NSW 2019 AUSTRALIA. LUCXXXXXXXXXX. ABL1327. The Lucrin Man Plan
  • 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 3 3 3 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