Register a Carer

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.

Carers Registration Form

Do you look after a relative, friend or neighbour who needs help because of their illness, frailty, addiction or disability and cannot cope without your support?

If so, you are a carer and we would like to support you. Please complete this form and hand it into Reception. If you are agreeable, we will also pass your details to Carers Support Wiltshire, which is a local organisation providing free confidential support, information and advice for carers. They can also discuss your need to be assessed by Adult Care Services. *Please note: - In order for us to discuss any health details with you relating to the patient you care for, they will need to complete a 'consent to share' form and return it to the Avenue Surgery.
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