Register a Carer

Are you a Carer?

If you are please let us know – we may be able to help you.

You are an unpaid carer if you support a family member or friend who is ill, disabled, elderly, has poor mental health or misuses substances. You are a Young Carer if you are under 18 in this role. The support you offer may be emotional or include shopping, cooking, dealing with medication, or attend medical appointments with the person you care for.

The person you care for could live with you, in their own home, or even in residential care. It is important that you let your medical practice know that you look after someone.

You can be added to the practice ‘carer register’ and gain to access to information and support.

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. If you are a carer please complete this form.

Non-urgent advice:

Please read this form carefully and submit after completing.

Register as a Carer

Carer Details

Date of Birth
Address

Details of Person Being Cared for

Date
Address
Is the person you care for registered at this surgery
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data