Kingston Hill Branch: 020 8546 1407

Fairfield Branch: 020 8546 1771

Grove Crescent Branch: 020 8417 2204

Email: swlicb.fairhillmedicalpractice@nhs.net

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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.

About you

Your title(Required)

Your name(Required)
Your date of birth(Required)
Your email address(Required)

Details of person being cared for

Title of the person you are caring for(Required)

Name of the person you are caring for(Required)
Date of birth of the person you are caring for(Required)
Please tell us if you are related, a friend or other connection.
Is the person you care for a patient at this surgery?(Required)
Not for urgent medical help(Required)

Date published: 13th June, 2023
Date last updated: 22nd June, 2023