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.

  • Do you look after someone who is sick, disabled or elderly/frail?
  • Would they struggle to live in their home without your help?
  • Are they a parent, child, partner, relative, friend or neighbour?
  • Are you – or is someone you know providing much-needed care for a loved one?
  • Are you unpaid and acting voluntarily?
  • Are you juggling work alongside your caring role?

If so, you are a carer and we would like to support you. Please complete this form.

Find out more about Carers support

Required field(s) are indicated by *
Register a Carer - Kintbury & Woolton

Register a Carer - Kintbury & Woolton

About you

As it appears on your passport.

As it appears on your passport.

The one used to register with your GP.

Your date of birth is required to verify your identity.

As on your medical record.
This phone number will be used for all correspondence relating to this request.

This email address will be used for all correspondence relating to this request. Please be aware that if you have given anyone else access to your email account they may see responses sent to you.

Please continue completing the form below
Is the person you care for a patient at this surgery?
I consent to this information being shared with the Carers Partnership Berks/The Princess Royal Trust Hants

Details of Person Being Cared For

Please use this date format: DD/MM/YYYY.
*