Queen Street Medical Practice

01946 694457

Carers

Are you looking after or providing support for a relative friend or neighbour? Are you being helped or supported by a relative friend or neighbour?

Your GP needs to know so you can be offered the right information, support and access to services. GP surgeries have to compile information for the government about the numbers of carers attached to the surgery so your information will help them to do this.

There is more information about help with day-to-day living because of illness or disability on the NHS website.

Please complete the form below.

  • Carer details

  • Date Format: MM slash DD slash YYYY
  • Details of Person Being Cared For

  • Date Format: MM slash DD slash YYYY
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