If you are a child or adult who helps to support a relative, partner, friend or neighbour who is ill, frail, disabled or who has mental health or alcohol and drug problems, you are a carer.
Please complete this form and hand it, or send it to your GP’s Surgery, who will record in your notes that you are a carer. This can help your surgery provide you with help with: arranging repeat prescriptions, flu immunisation, annual health checks and arranging appointments which fit in with caring.
Tell us what information and support you want by ticking the boxes below and overleaf. For help to complete this form please contact Carers’ Information and Support Service on: 01482 222220 or ask at your surgery.