Adult Carer New Self Support Requests

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Privacy Notice

Before you proceed, we would like to draw your attention to our Privacy Notice.

By accepting this notice, you acknowledge and agree to the terms and conditions outlined in our privacy policy.Your privacy and data protection are of utmost importance to us, and we want to ensure that you are fully informed about how we collect, use and protect your personal information.Please take a moment to review our privacy notice and click ‘Yes’ to indicate your acceptance.Privacy Policy

Carers Details

Your Details(Carer)

Further Demographics
Is the gender you identify with the same as your sex registered at birth?
Does the Carer reside in the Bradford District?
Is your disability substantial and/or long term?
Activity 4

Newsletters/Mailing Subscriptions

Would you like to receive an information pack?
Would you like to receive Choices?

Free to receive, our Choices Newsletter is published four times a year, featuring news and information for carers, special features, carers’ own stories, photos of events, and comprehensive listings of all our groups and activities.

Choices by email/post

Receiving Choices by email helps us to save money as well as being better for the environment. However if post is a better option for you, please just let us know

Sign up for Carer Forum

We hold regular carer forums about a range of topics and issues. If you would like to know when we are holding a forum, to give you the opportunity to participate, please let us know

Share my story

Sharing stories is a powerful way for us to explain the challenges carers face, the highs and lows and the impact our work is having. If you would be happy to be contacted about sharing your story, please tick 'yes'

Other occasional communications

We occasionally communicate with our carers about events, news and things that might interest you. If you would like to receive such communications, please select 'yes'

Preferred Communication Method(s)
Cared For

Tell us about the person you care for

What is your relationship to the person you care for?
Activity 2

Details of Support Request

Assign To Locality Team
Activity 3
Assign To Team