It is important that we know if you are a carer, so that we can make sure you receive information, services and the help that is available.

Individuals, irrespective of age, who provide or supervise a substantial amount of care on a regular basis to a relative, partner, friend or neighbour who is unable to manage on their own due to factors including illness, disability, frailty, mental distress, impairment or substance abuse. A carer can be a child looking after an older person or parent, or an older person looking after a disabled partner. The definition may be quite wide-ranging.

The term “carer” would not normally apply if the person is:
• a paid carer
• a volunteer from a voluntary agency
• anyone providing personal assistance for payment either in cash or kind

If you are a carer please complete this form.

    Carer Details

    Responses we send will go to this email address

    Details of Person Being Cared For


    Is the person you care for a patient at this Practice?
    YesNo (please inform the person you care for that we have their details on your record)

    We collect personal information when you enquire. We will use this information to provide the services requested and maintain records. We will not share your information for marketing purposes with any other companies. For more information explaining how we use your information please see our Privacy Policy

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